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However, even for those with suppressed virus there is some evidence that the incidence of cardiovascular disease may be increased and smoking would make this worse. I think that most doctors focused on HIV treatments and downplayed the impact of smoking. Tyndall is a medical doctor and epidemiologist who pioneered an opioid safe supply vending machine program in Canada and played a leading role in evaluating Insite, North Americas first sanctioned overdose prevention center

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