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Rifat Alsaman has more than 5 years of clinical experience in dentistry and currently serves as the Head of the Medical Team at Vitrin Clinic

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)

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Smokers tend to have a more rapid heart rate, poorer circulation, and more shortness of breath -- not helpful qualities in an athlete

doi:10.1136/tobaccocontrol-2016-053212

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