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Cigarette tobacco , though lower in nicotine concentration, is inhaled directly into the lungs, leading to faster absorption and a stronger immediate effect

Our findings suggest that vaping, although not smoking combustible cigarettes, causes changes in the blood that increase the potential for leakage in the blood vessels and that both smoking and vaping cause changes in the blood that lead to endothelial dysfunction and an increased risk of future cardiovascular events in otherwise healthy people," Springer said

In India, for instance, 36% did not know or believe that smoking can cause heart attacks while 51% had similar disbelief or ignorance when it came to strokes

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[4] Kuendig, Herv