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The damage to the artery may be caused by high blood pressure, high cholesterol, insulin resistance, obesity or diabetes, high triglycerides, a type of fat (lipid) in your blood, smoking and other sources of tobacco and inflammation from diseases, such as arthritis, lupus or infections

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25 This study also suggested that the higher rate of graft loss in recipients with a history of heavy smoking was caused by higher mortality as compared with non-smokers

This meant Harrisburg residents were breathing air equivalent to smoking 18 cigarettes, a disturbing figure only beaten by Lancaster, PA, which hit 25 cigarettes