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In particular, cigarette smoke was found to induce alveolar macrophages and neutrophils to produce pro-inflammatory cytokines, reactive oxygen species, matrix metalloproteinases, and various chemokines 31

[55] Diacetyl is normally found at lower levels in e-cigarettes than in traditional cigarettes

Know Yourself: If you feel lightheaded or uncomfortable, remove the pouch and take a break

Tobacco products with menthol can also be more addictive and harder to quit by enhancing the effects of nicotine. Youth ages 18-21 are most at risk of becoming habitual smokers