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Verbal consent was audio-recorded and witnessed for two staff participants who declined written consent due to cultural norms

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Furthermore, this association is still unclear, as two other studies have shown no difference in spirometric measurements before and after e-cigarette use.[45,46] However, one of these studies did show an increase in pulmonary airflow resistance by impulse oscillometry,[45] which indicates evidence of obstructive airway changes before they can be seen on spirometry

In the US, LGBTspend $7.9 Billion on tobacco products every year, which is 56x the amount spent on donations to LGBT lobby organizations