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COPD includes emphysema and chronic bronchitis which can eventually lead to difficulty with breathing

Heartburn after quitting vaping develops through similar pathways because nicotine affects the muscle that keeps stomach acid in place

PLoS One 9:e112829 Dostert C, Petrilli V, Van Bruggen R, Steele C, Mossman BT, Tschopp J (2008) Innate immune activation through Nalp3 inflammasome sensing of asbestos and silica

Basing public health positions on this assertion today, knowing full well how this figure was invented, is irresponsible and either aligns with the scientific lies propagated by the tobacco industry, or is a mix of naivety, incompetence, and/or vested interests