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The Biological Reality Both expose lungs to: Oxidative stress Inflammatory cytokine activation Epithelial barrier dysfunction Impaired mucociliary clearance What I Tell My Patients If the question is: Is vaping safer than smoking? The honest medical answer is: Vaping may reduce exposure to some carcinogens compared to traditional cigarettes but it introduces new chemical risks and does not make inhalation safe

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In general, however, a wide variety of symptoms are associated with nicotine toxicity, which may be partly explained by the systemic distribution of cholinergic nicotinic receptors

Meanwhile, other public health experts say increasing taxes on menthol cigarettes a strategy that has been used to reduce overall smoking wont pack nearly the same punch as a ban