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33, 34 Oxidative stress induced by smoking, overlaid on increased oxidative stress in patients with HT, DM or CKD, may have an important role in CKD onset and progression, although the precise nature of the nephrotoxic effect of cigarette smoking is not well understood (Figure 2)

But thats not what this study appears to show

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The project was funded by a small grant from Sustainable Jersey, a nonprofit organization that provides tools, training and financial incentives to support community sustainability programs