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In most product and brand-recognition contexts, Chunghwa and Zhonghua refer to the same Chinese name:

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This combination enhances oxidative stress and cellular damage, especially in chronic smokers, potentially accelerating the development of cancerous growths in the lungs

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Prolonged smoking has also been shown to change the morphology of cardiac muscles, leading to the development of LV hypertrophy from young adulthood to middle age ( 57 )