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Taken together, smoking carries the greatest burden of chronic bronchitic and structural respiratory effects, vaping may reduce some combustion-related harms but introduces risks of acute lung injury and uncertain long-term consequences, while oral routes minimize pulmonary risks but raise challenges related to dosing and psychoactive effects

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Other providersand nonapproved devices manufactured abroadhave filled in the gap.) The youth vaping trend was hard to confront because many of the lessons learned during earlier anti-smoking campaigns didnt translate directly, Zeller said