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[20] The alteration in biosynthesis of NO and its decreased activity, [21] in combination with the smoking-induced reduction in prostacyclin production [22] and the direct toxic effect of nicotine on endothelial cells that causes direct structural damage, [17] are important factors that may lead to endothelial dysfunction ( Figure 1 )

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(6) Individual, group, and telephone counseling are effective and their effectiveness increases with treatment intensity

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