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Despite some inconsistencies, particularly among studies assessing respiratory disorders and suffering from methodological limitations and possible biases 30-33 , the findings from the reviewed studies indicate a growing body of evidence supporting the harmful effects of SHS on pets, with reported associations ranging from respiratory and cardiovascular alterations to neoplasms and biochemical markers of oxidative stress and inflammation

12,19 Vape shops may assist patients in identifying the appropriate nicotine concentration to start at based on what is available for each device and how much they smoke

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