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It may be surprising, but bones rely on strong blood flow to heal and grow together. Neurosurgeon Dr. Jason Stacy explains that nicotine constricts blood vessels, making bone healing and spinal fusion Tobacco: No Healthy Alternative The influence of smoking and alcohol on bone healing: Systematic review and meta analysis of non pathological fractures PMC Chewing Tobacco: Understanding Its Harmful Side Effects Aayush Wellness
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