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I think a lot of crap gets trapped in your lungs when you smoke, or even just in your daily life (which is probably what happened to Susan), and then as you do more structural damage later

Below are some of the diagnoses that have been documented to be associated with patients vaping/use of e-cigarettes: Vaping Related Lung Disorders and Conditions: Bronchitis and pneumonitis due to chemicals, gases, fumes and vapors

The influence of social support on smoking cessation treatment adherence among HIV+ smokers

Adolescent cigarette smoking in 1974, 1986, and 2018 was captured by self-report at age 16, 16, and 17 years, respectively, in each cohort