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The fibers interlock and give the hand-rolled cigarette the necessary stability

"The question was whether vape containing nicotine had negative effects on the ability to clear secretions from the airways similar to tobacco smoke," senior author Matthias Salathe, M.D., chair of internal medicine and a professor of pulmonary and critical care medicine at the University of Kansas Medical Center explained in a news release

1 In the United States, ~30% of women and ~43% of men are overweight, and ~26% of women and ~29% of men are obese

You might wonder, Are vapes worse than cigarettes