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In fact, it reminds me of a spoof article in the Canadian Medical Association Journal a few years ago: Cigarette smoking: an underused tool in high-performance endurance training. Numerous studies show that smokers have higher lung volume and higher hemoglobin levelsfactors associated with endurance performance, but also with respiratory problems

The shirt uses humor to express the feeling of being overwhelmed by lifes constant surprises while maintaining a positive and self-aware outlook