"These findings support several previous studies suggesting that something about female gender may provide protection from harmful vascular changes due to secondhand smoke exposure," she said
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Substances that can be found in e-cigarettes include diacetyl or acetyl propionyl, which is associated with the irreversible and disabling lung disease called bronchiolitis obliterans
People consume harmful substances during smoking that degrade the collagen and elasticity of a smoker's skin and make them appear dull with fine lines and wrinkles.

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A 2023 meta-analysis concluded that inhalation of e-cigarette aerosol leads to impaired functioning of the lining of blood vessels