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Comment by bd

Hard to tell much about B vitamin supplement effects on non-smokers from this study.

Researchers themselves excluded never-smokers from more detailed stratified analysis because of their small number.

There were only 60 cases of lung cancer in never-smoker category (out of 36,381 people => 0.16%).

In comparison there were 748 cases of lung cancer in smoker categories (former + recent + current) (out of 40,737 people => 1.84%).

So there is 11.5x higher risk of lung cancer simply by smoking (including people who stopped smoking).

For comparison the highest hazard ratio from this study was 3.71x for a category of current smoker taking >55ug/d B12 vs current smoker who is non-user of B12.

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Also curiously, the worse risks seem to be associated with people who stopped taking vitamins than people who currently use vitamins (B6: 1.97x vs 1.38x, B9: 1.65x vs 1.05x, B12: 2.58x vs 1.19x - individual supplement use status former vs current).

Plus smaller doses of B6/B9/B12 shown in this study to pretty much universally lower lung cancer risk by a bit (hazard ratios of 0.8-0.9x ranges; one noticeable outlier >600ug/d B9 in recent smokers halving risk of cancer).

parent bd 9 years ago

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