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...he smoked because most people around him did (including his own biological family members)

(ACOG 2017

In addition, nicotine was found to be the primary contributor to elevations in protease activity in isolated human neutrophils and macrophages, when compared to e-liquid solvents [22]

A cross-sectional study revealed a twofold increase in the nicotine dependency index among e-cigarette users, and a 1.5-fold increase among dual e-cigarette and traditional cigarette smokers 49

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