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Even lipoprotein metabolism and insulin resistance are impaired by smoking The nicotine in the cigarette has vasoconstrictive properties and it affects the glomerular filtration rate of the kidneys Renal blood flow is also restricted by smoking Smokers have more protein in their urine than smokers Since insulin resistance is impaired by smoking, smokers are more at risk from diabetes-related kidney damage and progress rapidly towards total kidney failure Smokers are twice at risk from kidney cancer than non-smokers

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