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Additionally, younger users are more likely to initiate vaping due to appealing flavors, believing fruit-flavored e-cigarettes are less harmful than traditional tobacco flavors

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Azmy Faisal It was surprising to see among healthy young adults that vapers who had never smoked show similar vascular dysfunction, exercise intolerance and increased breathing and leg discomfort during exercise as tobacco smokers, Azmy Faisal, PhD, FHEA, senior lecturer in cardiorespiratory physiology in the department of sport and exercise sciences at Manchester Metropolitan University, told Healio

21 evaluated the effects of tobacco, e-cigarettes, and waterpipe smoking on human endothelial function and found that all types damage vascular health, increasing oxidative stress and inflammation