self-portrait with cigarette Otto Dix. (with Cigarette) [Selbstbildnis (mit Zigarette)] from the portfolio 6 Etchings (6 Radierungen). 1922 Edvard Munch 19x24 Gold Ornate

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But here's the thing: this doesn't mean that one puff of an e-cigarette is the same as smoking a cigarette

[95] [96] History Early uses The history of smoking dates back to as early as 5000 BCE for shamanistic rituals

Immune system changes Chemicals in cigarette smoke may stimulate special immune cells known as B cells and T cells and cause them to attack the body, resulting in autoimmune diseases (diseases where the immune system attacks itself)

It has also been CE-marked in Europe as a safe treatment option for these and several other mental health and neurological issues