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The interference of smoking and drinking can make the conditions more worse and lethal for the users

Cardiovascular-Kidney-Metabolic (CKM) Syndrome , as defined by the AHA, is a systemic disorder characterized by pathophysiological interactions among metabolic risk factors (such as obesity, insulin resistance, dyslipidemia, and hypertension), chronic kidney disease (CKD), and the cardiovascular system, leading to multiorgan dysfunction and a high rate of adverse cardiovascular outcomes [145]

PMID: 36359216

This is why the scale can feel inconsistent, especially in the early weeks of any weight loss program

PMID 23990731

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