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Framed as a bold call to action, it highlights the ongoing public health crisis caused by tobacco useresponsible for over 7 million deaths annuallyand its massive economic and social toll, especially in low- and middle-income countries

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For cardiovascular disease, smoking impairs endothelial function, reduces nitric oxide, and promotes atherosclerosis through oxidized LDL and effects on adhesion molecules (Kunierczyk 2023)
The opening scene literally depicts his death, while the scene with Laughing Bull tells the audience directly about Spikes fate

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