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Moreover, it also causes chronic bronchitis and emphysema (a condition that involves damage to the air sacs in the lungs, causing difficulty in breathing) and increases the risk of heart diseases (e.g., stroke , heart attack , and vascular disease), leukemia, type 2 diabetes , cataract , pneumonia, and an impaired immune system

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Other contributing factors include: Poor Diet Deficiencies in vitamin C, vitamin E, and zinc reduce hair strength

This has since been expanded to the export as well as sale of e-smoking devices and equipment