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To note, similar reductions in endothelial-dependent dilation have been identified after a single exposure to combustible tobacco products or e-cigarettes [115], although contradictory results are also available, supporting that acute exposure to neither combustible tobacco cigarettes nor ENDS had an effect on vascular function [87]

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The Impact of Smoking on the Throat and Vocal Cords When you smoke, you inhale a toxic mix of chemicals, including tar, nicotine, and carbon monoxide

Historically women smoked less than men which affects these figures

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