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However, more research is needed to understand what exactly is causing these effects

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[15] Primary spontaneous pneumothorax (PSP) has for many years been thought to be caused by "blebs" (small air-filled lesions just under the pleural surface), which were presumed to be more common in those classically at risk of pneumothorax (tall males) due to mechanical factors

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Sometimes they end up dual-usingsmoking some cigarettes while vaping on the side