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While a poor diet rich in fatty food is best-known for triggering the condition, other lifestyle habits, including smoking, also play a role

A study showed that 40% of non-smokers in the Netherlands feel annoyed by secondhand tobacco smoke outdoors, particularly on outdoor caf terraces 17

But less smoke does not automatically mean neutral for skin, and it definitely does not mean friendly to melanocytes. The original version of this article linked to broader research suggesting that e-cigarette aerosols and flavoring chemicals can influence inflammation, oxidative stress, and cellular stress pathways

This person would also have lived through three wars in which enemy planes flew over his house and enemy bombs fell in his fields

Benowitz, N