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[11] Hopkinson NS et al

This density parameter also provides insights into a particles shape, whereby a homogeneous, spherical particle has a constant effective density equivalent to its material density and a fractal-like particle, such as soot, has a size-dependent effective density lower than its material density

Scarred tissue is thicker and less flexible, so the lungs cant fully expand, which lowers the amount of oxygen they can take in

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Smoking for long periods of time can absolutely cause your body to get deprived of much needed oxygen which can cause headaches and lightheadedness