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97 The metabolic detoxification that occurs in the liver starts with phase I enzymes that convert a toxic chemical into a less harmful chemical that can be metabolized by phase II enzymes

Table 3 Dyspnoea-12: a validated 12-item breathlessness assessment questionnaire with scores ranging from 0 to 36, where higher scores indicate greater dyspnea severity

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However, this medical research is not conclusive so whilst we cant say that it definitely will cause acne we can say that smoking definitely wont be helping