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Because of this, pictorial cigarette warnings increase understandability and learning of the message

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The only respiratory symptom uniquely and consistently associated with EC use in this review is cough, but this may be a transient effect of respiratory irritation, and does not seem to progress into clinically significant lung disease [30]

It has also been shown to cause elevated blood pressure, increased heart rate, and arterial stiffness all of which may contribute to a higher likelihood of developing cardiovascular disease

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