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It is generally accepted that some adverse cardiopulmonary effects induced by nicotine and carbon monoxide (CO) among the compounds are reversible with cessation of smoking.[] However, the optimal timing of preoperative smoking cessation is an important clinical question.[] An acceptable tool to quantify the exposure of an individual to cigarette smoke is the concept of pack-years. However, it is difficult to rely on this assessment as there are different types of tobacco leaves with varying degrees of processing and so varying amounts of nicotine as well as a different number of cigarettes per pack by different companies in the market.[] In India, an estimated 108 million males and 11 million women between 15 and 69 years of age have been smoking tobacco in any form in 2015

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While no tobacco product is safe, some potentially carry lower risk profiles than combustible tobacco