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It also has significant physical implications

doi:10.1093/ije/30.1.35

Peter Shields, deputy director of the university's Comprehensive Cancer Center

Thematic analysis revealed that users sharing personal experiences shared their own experiences with DIY mixing, from celebrating successful recipes and highlighting community-curated favorites to experimenting with techniques, lowering nicotine levels, and troubleshooting flavors

Observational studies also have reported exacerbation of underlying lung diseases and poorer lung function as measured by spirometry among e-cigarette users compared with healthy participants in a control group