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Marfan's Syndrome and smoking
First of all, if your symptoms are getting worse with smoking, why do you continue?
The primary concern in your situation is to make sure your aorta is not getting any bigger, so that needs to be excluded first. Once that is excluded, your doctors can look for other reasons. Since I don't know anything else about you, I cannot begin to guess where else to look, but for heavens sake, stop smoking! It has very limited social value - it is not cool, it is expensive, causes infections, inflammation, heart disease, cancer and is doing damage to your system right now, not just at some time far away in the future!
Read more about Marfan's here:
Hope this helps,
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