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Smoking 10 or more cigarettes per day is associated with an average hemoglobin increase of 3.5% compared with nonsmoking controls, a change which can be maintained simply by continuing the treatment regimen.10 In fact, older people with longer smoking histories have higher hemoglobin levels, indicating a possible dose-dependent effect.10 The hemoglobin increases may be further enhanced with add-on therapy of ethanol, which also appears to act in a dose-dependent manner.10 Lung volume Although lung volume measurement is not often used to determine endurance performance, increased total lung capacity has been shown to correlate with endurance training

British Medical Journal, 2004

The risk of having a stroke decreases