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It's especially difficult if you're trying to keep it on the down-low

Journal of the American Medical Association Network Open

The researchers also looked at deaths from smoking-related diseases, including lung cancer, heart disease and respiratory infections, and saw similar trends

So I had to decide whether to have surgery to try and live a normal pain-free life, or basically go through a ton of physical therapy and additional pain to try to get my back healthy enough to where I could take another shot at just trying to pitch again