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You may need more checkups and cleanings to prevent gum disease

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Both the British Doctors Study 29 as well as our study found that heavy cigarette smokers lost 910 lifeyears, indicating that the amount smoked is associated with reductions in life expectancy

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Certain medical conditions and medications increase risk, including hypothyroidism, obstructive sleep apnoea, hypopituitarism, and medications such as corticosteroids, tamoxifen, amiodarone, valproate, and some antiretroviral drugs (though medication-induced steatosis is less common)