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The increased oxidative stress induced by e-cigarettes stimulates the production of reactive oxygen species (ROS) in alveolar macrophages, causing lung epithelial damage and neutrophil influx at the injury site, leading to aggravated inflammation, mucus production, destruction of alveolar cells, and airway obstruction, potentially increasing future cardiovascular risks [53, 54]

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Smokeless tobacco use and circulatory disease risk: a systematic review and meta-analysis

They found that less than a third (31.7%) of teens knew that nicotine in e-cigarettes comes from tobacco plants, even though the nicotine in e-cigarettes has historically been derived from tobacco

It may be a good idea to talk to your provider before you quit so you have a plan for addressing withdrawal symptoms