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This extra air has to go somewhere

Over time, this leads to: Damage to lung tissue and air sacs Increased mucus production and chronic cough Reduced oxygen exchange Higher risk of infections Increased chances of chronic bronchitis, COPD, and lung cancer The lungs do have a natural cleaning system

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Because survey respondents were asked about their use of cigarettes and e-cigarettes simultaneously and retrospectively, it is unclear how patterns of use changed over the life course and how these reported symptoms may or may not lead to medical diagnosis of disease in the long-term