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In addition, exposure to tobacco and its various chemical compounds can induce gut microbiota dysbiosis, altering metabolic pathways, including those related to the metabolism of nitrogenous compounds, which may lead to the accumulation of harmful nitrogenous metabolites such as ammonia and nitrosamines 4

Vaping nicotine may not have tar from smoking, but is still bad and damaging to your lungs

Taylor RG, Gross E, Joyce H, Holland F, Pride NB: Smoking, allergy, and the differential white blood cell count

They may engage in hand-to-mouth behaviors, increasing contact with contaminated surfaces

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The researchers measured free radicals in e-cigarette aerosols