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Cigarette smoke promotes inflammation by inducing the production of pro-inflammatory cytokines, such a TNF-, IL-1, IL-6, IL-8 and granulocyte-macrophage colony-stimulating factor (GM-CSF), and increasing the accumulation of immune cells in the airway [104,105]

Most studies about smoking, caffeine, and pregnancy rely on what people say they do, which might not always be completely accurate

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However, the reported 9.7% prevalence of current vaping among female students who participated in this study warrants particular attention