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Over time, this leads to: Damage to lung tissue and air sacs Increased mucus production and chronic cough Reduced oxygen exchange Higher risk of infections Increased chances of chronic bronchitis, COPD, and lung cancer The lungs do have a natural cleaning system

PMID 31604983

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Yoo, "In the ER, I see many young people who use nicotine pouches, vape, or smoke cigarettes, far more than I did 10 years ago.