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They also found increased levels of CD4+ T cells, a type of white blood cell, which were releasing a pro-inflammatory protein called interferon-gamma

The immunosuppressive effects of smoking and vaping further increase susceptibility to bacterial colonization, elevating the risk of post-op infection, peri-implant disease, and subsequent implant failure

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If you want to describe smoke rising from a campfire or a chimney, you would use a completely different sign that involves swirling your hands upward to mimic the visual of rising smoke