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Keywords: e-cigarettes, electronic cigarettes, fasting glucose, lipids, smoking, vaping Introduction Use of combustible cigarettes remains a leading risk factor for atherosclerotic cardiovascular disease (CVD)

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Additionally, aerosolized nicotine from vaping has been linked to increased thromboembolic activity and impaired dilation and relaxation of small blood vessels (7, 11)

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Vascular diseases Nicotine causes hypercoagulability and vasoconstriction, expanding the opportunity of blood clots impeding blood vessels