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During OSCC development, CS decreased microbial diversity and reduced Bacteroidetes, Proteobacteria, and Lactobacillus while promoting Staphylococcus proliferation

Although it doesn't show a direct causal effect, this study shows that further research must be done to understand the effects of e-cigarettes on human health and whether they could be linked to an increased risk of cancer." These changes were also seen in the cheek cells of vapers, who had smoked fewer than 100 cigarettes in their lives