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Long-term Considerations Chronic exposure to nicotine, whether from smoking or vaping, may lead to permanent cardiovascular issues 6 , including arterial stiffness and increased risk of heart attacks and strokes

From a health care standpoint, we have no idea what any long-term or short-term effects of inhaling this vapor may be, Bales said

These findings suggest that the observed relationship may be influenced by differences in participant characteristics rather than by e-cigarette use itself

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