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Thats because after two decades of declining youth smoking rates, more than 25% of teens used tobacco products in 2018 the vast majority of which were vaping

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doi: 10.1136/thx.53.2.117

Smoking and vascular endothelial function Many studies have shown that the vascular endothelium-dependent relaxation response is impaired in smokers and in experimental animal models [42,43,44,45,46,47,48, 54, 55]

Robays, L.J