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CRD42023385632) ( We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, adhering to the 4-phase flow diagram and the 27-item checklist for this study (see PRISMA reporting checklist) 6

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Increased respiratory disease: Just like people, pets who live with smokers are more likely to experience symptoms of respiratory disease, like asthma, bronchitis and lung cancer than pets that live in smoke-free homes

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