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Although evidence remains limited, these intermediary outcomes may mitigate the risks of heart disease, lung cancer, and chronic obstructive pulmonary disease (three fatal conditions linked to smoking), as well as overall mortality risks 11

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"They really don't have the option of waiting, they wake up and crave cigarettes and they smoke, it's not a behaviour that is modifiable." "We think the early morning smokers are more nicotine dependent and unlikely to change their smoking habits." The papers' authors suggest that this high risk group of individuals would benefit from targeted smoking interventions