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Chronic Obstructive Pulmonary Disease (COPD) COPD transpires when the lungs become damaged, narrowed or inflamed

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Long-Term Effects Nicotine dependence Cardiovascular strain Respiratory problems Reduced stress tolerance Increased relapse risk Compared to tobacco cigarettes, which contain thousands of toxic chemicals, vaping exposes users to fewer but still potentially harmful substances

[57] "Border Problems in Michigan," 35 th Annual Meetings, 23