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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 How Smoking Damages Bones & Joints: Expert Insights Bad to the Bones Rush Why Does Smoking Make Back Pain Worse? Spine and Pain Clinics of North America
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