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For instance, a study of more than 1,000 patients in China, published in the New England Journal of Medicine , found that smokers with COVID-19 were more likely to require intensive medical interventions than those who didn't smoke

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More specifically, given genetic instruments cannot be influenced by other confounders (i.e., lifestyle, or environmental factors), MR studies, are in theory, less susceptible to confounding or reverse causality than traditional observational studies 23

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