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Smoking damages the lungs and makes breathing more difficult

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It is also important to note that the use of nicotine-free e-cigarettes may also elicit similar changes in arterial stiffness comparable to use of ENDS containing nicotine and combustible tobacco cigarettes [41] as well as heated tobacco [83]

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That said, these side effects pale in comparison to the side effects and withdrawal symptoms someone in active addiction to alcohol and/or drugs feels in the absence of these substances