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Nicotine, whether from smoking or vaping, harms spinal health. It reduces bone density by damaging cells (osteoblasts) responsible for bone growth, leading to osteoporosis and potential fractures. Additionally, nicotine constricts blood vessels Smoking and Osteoporosis: Causes, Risk Factors, and Prevention How tobacco use affects bone health Smoking habits and osteoporosis in community dwelling men subjected to dual X ray absorptiometry: a cross sectional study Journal of Endocrinological Investigation Springer Nature Link Smoking and osteoporosis: Is there a link? Research and more does cigarette smoking cause osteoporosis Does Smoking Affect Osteoarthritis? Knee Clinics located in Portland, OR
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