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Alcohol, Cigarettes, and Muscle Growth: What You Need to Know Smoking impairs muscle protein synthesis and increases the expression of myostatin and MAFbx in muscle American Journal of Physiology Endocrinology and Metabolism American Physiological Society Health effects of smoking tobacco Wikipedia A study published in the American Journal of Physiology Endocrinology and Metabolism set out to answer a simple but overlooked question: does smoking affect the body's ability to build and maintain muscle?

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