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A randomized crossover study of occasional tobacco cigarette users demonstrated an acute increase in vascular stiffness after inhaling e-cigarettes with and without nicotine, as evidenced by increased AI75 (pulse wave augmentation index at 75%) and PWV (pulse wave velocity) (24)

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Using e-cigarettes normalizes smoking, she said, and is linked to an increased likelihood of using typical cigarettes or tobacco products. For this reason, vaping and electronic cigarette use should be included in discussions of risky behavior with teens, she said

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