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Interestingly, a recent study supports these findings: in a report by Seror et al.,14 passive smoking during childhood on the risk of developing RA

Bendotti H, Lawler S, Chan GCK, Gartner C, Ireland D, Marshall HM (2023) Conversational artificial intelligence interventions to support smoking cessation: a systematic review and meta-analysis

Moreover, evidence indicates that e-cigarettes weaken the immune system, as exposure has been shown to induce altered immune response and homeostasis [141, 142] with significant disruptions specifically associated with fourth-generation e-cigarettes [143]

Nevertheless, now that I am back in the States, it seems appropriate and necessary to engage the issue of gender on the textual level