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Some individuals may have mild and infrequent episodes, while others may endure more frequent and severe occurrences

Adolescents who endorse this belief may perceive e-cigarettes as medically acceptable or less harmful alternatives to conventional cigarettes

The latter are critical to gene expression of pro-inflammatory mediators such as interleukin (IL)-8, IL-6, and tumor necrosis factor- (TNF-) which links cigarette smoke exposure with altered cytokine production [90]