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These are the same harmful compounds found in traditional tobacco and are major causes of cancer and cellular damage over time. He adds that many patients arriving at clinics suffer from severe coughing, hoarseness, dark or yellow phlegm, and in some cases have been diagnosed with pre-cancerous lesions on the vocal cords

Public Health 13 , 306 (2016)

Seek medical attention if you experience these symptoms

48, 49 Probably, the effects on DC numbers are confined to the regions in close contact to the inhaled tobacco smoke, such as airway lumen, mucosa, and peribronchial tissue, and less detectable on whole lung tissue specimens

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