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I dont want to speculate on whether illicit alternatives played a role in this, but I would say we should study that possibility

It is equally important to acknowledge that drug use also affects individuals on a longitudinal scale, and as such, chronic exposure to different constituents present in electronic cigarette aerosol may influence health outcomes, which will not be revealed until after many years of product use

bowl part used to hold the tobacco

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Some of the harmful substances found in e-cigarette vapor include diacetyl, a chemical linked to lung disease, and volatile organic compounds that can cause respiratory irritation