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They have little awareness of the health risks associated with smoking or underestimate the severity of their addiction

We also identified relevant research gaps, which will guide future researchers to conduct rigorously designed human studies and meta-analysis examining risk of cancer from e-cigarette use

Here is some lab work to consider: Estradiol, progesterone, DHEA, Cortisol, B12, Zinc, magnesium RBC, ferritin Thyroid panel (because thyroid symptoms often mimic perimenopause) Vibrant Hormone Zoomer test (for in-depth hormone metabolite mapping) The next step

ARSENIC IN CIGARETTES 3

Metals have long half-lives (ie, years) and may come from sources other than tobacco exposure