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[DOI] [PubMed] [Google Scholar] [57].Saikolappan S, Kumar B, Shishodia G, Koul S, Koul HK, Reactive oxygen species and cancer: A complex interaction, Cancer letters, 452 (2019) 132143

In contrast, favorable attitudes toward e-cigarettes were strongly associated with current use after adjustment for sociodemographic factors, suggesting that attitudes may mediate the influence of social exposure, peer norms, and stress-related motivations on vaping behavior

Electronic nicotine delivery systems: adult use and awareness of the e-cigarette in the USA

Exhaling again through the nose, you gently blow a small amount of smoke back out of the pipe

Its a valid question