Long term smokers can suffer from the following health problems:

Cancer

Heart disease and stroke

Chronic bronchitis

Emphysema

Diabetes

Chronic obstructive pulmonary disease (COPD)

Lung infections

Respiratory symptoms such as cough, wheezing, and shortness of breath

Reduced lung function and capacity

Increased risk of infections, particularly in the respiratory system

Worsening of asthma symptoms

Higher risk of developing cardiovascular diseases such as high blood pressure, heart attack, and atherosclerosis

Increased risk of developing type 2 diabetes

Weakened immune system

Impaired wound healing

Decreased fertility and increased risk of pregnancy complications

Early onset of menopause in women

Increased risk of osteoporosis and bone fractures

Poor oral health, including gum disease and tooth loss

Increased risk of cataracts and macular degeneration, leading to vision loss

Impaired cognitive function and increased risk of dementia, including Alzheimer's disease

Higher risk of developing mental health issues such as anxiety and depression

Overall decreased quality of life and life expectancy.