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If you smoke and have varicose veins, it is important that you speak to your doctor or vein specialist regarding your treatment options, especially if you are experiencing symptoms, like pain, numbness, discoloration, or changes in the skin around the areas

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The authors have been clear about this and report these as limitations, said Jamie Hartmann-Boyce, an assistant professor of Health Policy and Management at the University of Massachusetts, Amherst in the US who was not involved in the study