how tobacco affects the body Smoking Health Effects how tobacco affects the body
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doi: 10.1016/s0140-6736(20)30752-2 11

Cigarette smoke If you smoke, vape or inhale other peoples cigarette smoke (passive smoking) it can worsen your asthma by: increasing asthma symptoms increasing asthma flare-ups reducing the effect of your preventer medications (this means sometimes higher doses are needed to achieve the same asthma benefits as non-smokers)
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A January 2018 report by the National Academies of Science, Engineering, and Medicine concluded that youths who use e-cigarettes are more likely to use traditional cigarettes later