look, i’m a huge opponent of smoking, i’ve been around this world for over a half a century and never put a cig in my mouth (and IYH for the 2nd 1/2 century too 🙂 )
BUT, i must say this, that i believe the issur of v’nishmartem is only if the person will die that minute, like jumping off a cliff, or whatever
but if it’s just a disease that accrues in one’s body based on poor habits, it’s certainly not a good idea, but i don’t think a person is specifically “oiver” on v’nishmartem
ALSO, how can we justify the weekly intake of kugel, kishke, cholent, and the like (besides for the lack of regular exercise) ?
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