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This is saying that cellular oxidative stress, redox imbalance, and lung inflammation (cell damage and inflation) seem to occur with eCigs and tobacco cigarettes, due to heavy metals and free radicals, in similar ways to tobacco, in tests on mice (we have different ethics for studying humans and it takes longer to get that data)

The reason their voices are so shrill is that their hearing is impaired, he said

The VESUVIUS study is thought to be the largest to date investigating the impact of swapping from smoking to vaping on the heart and circulation

However, mixing illicit substances into your e-liquid can also lead to serious health risks including lung injury, as seen with the addition of vitamin E acetate in e-liquids in the United States