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E-Cigarettes and Youth E-cigarettes, also called vapes, e-cigs, ENDS, vape pens, mods, and e-hookahs, have been the most commonly used tobacco product among youth since 2014

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Lactate concentrations increase with increasing hydrogen ion concentrations 31 and therefore the reduction in lactate and increase in BAs further supports our hypotheses, and suggest that bacteria present in low- Lactobacillus CST-IV use available hydrogen ions to perform amino acid decarboxylation and produce BAs, thus resisting acid stress 56

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