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I wrote this piece and I spoke to him and his wife Gail, explaining the circumstances

*Brain Behav Immun*

So the air comes in very easily, but you can't exhale very easily, which makes you short of breath, makes you feel poorly, and over time, you can actually become dependent on oxygen and have a very poor quality of life because you become so debilitated from your smoking-related disease

Yet, with clinical supervision, some nicotine e-cigarettes have been shown to help some people

Holding the smoke in your mouth exposes your oral tissues to toxins, and theres still a link between cigar smoking and cancers of the mouth and throat