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Its the combination of the heat and the ingredients. And the damage may not just be contained to your lungs

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Definitive clinical data are lacking on gut microbiome effects for other antipsychotics, quetiapine, risperidone, and aripiprazole, but some have shown that these medications may shift microbiota composition and increase inflammation [7]

Other evidence documented in the 2021 report found e-cigarette users may be at a higher risk of more unpleasant side effects, including: Lesions in the mouth and tongue Throat irritation Cough Broken or cracked teeth Burns on the mouth due to explosive device failures While research shows a clear link between smoking and gum disease, oral cancer and other health issues, it has been more difficult to study the link between vaping and oral health problems because e-cigarettes have only become popular within the past decade