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Whilst that is true for cancer, it doesnt seem to be true for heart disease or stroke. Writing in the BMJ, Hackshaw and colleagues describe how they looked at data from 55 published reports, covering 141 studies carried out between 1946 and 2015 and involving several million people in total, to examine the impact of smoking on coronary heart disease or stroke

Specifically, acute exposure to nicotine-containing ENDS vapor results in mucus accumulation, overproduction of multiple cytokines, deposition of ECM, and fibrosis ( Figure 8 )

Its a universal problem that we see [in India] as well, she says

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