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They focused on youth without asthma at baseline, which is a strength of the study as it excludes youth who may have pre-existing respiratory symptoms due to asthma

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Many chronic smokers start during their teenage years, often influenced by peers or family members who smoke

On the other hand, the combustion performance of tobacco was affected by high protein content, which leads to a burnt taste and irritation, thus diminishing the quality and safety (Chen et al., 2021)