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Smoking was also linked to a higher risk of death among smokers with underlying conditions such as obesity, diabetes, hypertension and chronic kidney disease as well as those receiving anticoagulants before their hospitalization

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According to a Medscape article (based on a 2005 study), the increased blood glucose levels seen with niacin did not translate into worse heart outcomes

This could affect how well the body can break down large molecules for energy, how efficiently cells can produce energy, or cause problems with energy regulation