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Thank you for my weekly health matters reading material. I enjoy it immensely.

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Hi Paddy,

Firstly, a word of thanks for your newsletter emails, which I find really helpful and interesting.

I am curious to know how smoking affects heart health risk. Is nicotine the main culprit, or is there a more complex mechanism at work? I ask because, while I have given up smoking, I still use nicotine replacement gum. Can you shed some light on this, please? There are probably many people in the same boat, so I think it would be of wider interest.

Thanks once again, and best regards,

Gerard

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Thanks Gerard. Your smoking question is a complex one but here is what I have written about smoking in the past https://paddybarrett.substack.com/p/smoking-still-a-major-driver-of-risk?utm_source=publication-search

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