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It is likely that vitamin E is directly cytotoxic to lung cells (indicated by a yellow X), leading to necrosis, neutrophil recruitment and activation resulting in collateral damage, and noncardiac pulmonary edema

Ebbert JO, Elrashidi MY, Stead LF

This finding persisted, even after controlling for a number of demographic characteristics, including intensity of smoking before pregnancy and time since delivery

Hernndez-Walias FJ, Garca M, Moreno M, Giannoukos I, Gonzlez N, Sanz-Garca E, et al

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According to the WHO Study Group on Tobacco Product Regulation, E-cigs are categorized as electronic nicotine delivery systems (ENDS), devices designed for the purpose of nicotine delivery to the respiratory system where tobacco is not necessary for their operation [59]
