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It increases the fluidity of lung surfactants causing surfactant layer to collapse, and may result in shortnes of breath and lung inflammation . Nicotine - nicotine is also reported in BAL fluid of patients using e-cigarettes as well as it is also reported in asymptomatic individuals who smoked tobacco or used e-cigarettes

For a vape, that usually means one small puff

And the high incidence of taxes on legal cigarettes is only acting as a luring incentive to illicit cigarette smugglers, making the livelihoods of local farmers ever more difficult

[1] [2] The cardboard tube acts as a cigarette holder and is called mundshtuk ) in Russian