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Some of these factors identified by researchers include birth method (Kapourchali and Cresci, Reference Kapourchali and Cresci2020), diet (Cresci and Bawden, Reference Cresci and Bawden2015), geographic location (Prideaux et al., Reference Prideaux, Kang, Wagner, Buckley, Mahar, De Cruz, Wen, Chen, Xia and Van Langenberg2013), medication (Maier and Typas, Reference Maier and Typas2017), and ailment (Dahiya and Nigam, Reference Dahiya and Nigam2022)

For a pack-a-day smoker, they found, each year of smoking causes 150 extra mutations in every lung cell