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This includes the potential for the use of such products to cause changes to airways that could be a precursor to cancer. Other studies have focused on whether e-cigarette users are more likely to develop chronic obstructive pulmonary disease (COPD), a set of lung complications that make it hard to breathe

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Smoking causes more deaths than car crashes, drug use, and gun violencecombined

Smaller than those particles are the fine and ultrafine particles , which also must be taken under consideration