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The use of activated charcoal filters does not affect the draw than when standard fibers are used

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First, they emphasize the need for healthcare professionals to be vigilant in monitoring the respiratory health of individuals who use or have used e-cigarettes, particularly given the heightened odds of COPD associated with e-cigarette use

The retrospective design, reliance on self-reported data, lack of information on dietary factors, unmeasured heavy metal exposure, and unaccounted variability in E-cigarette devices all limit causal conclusions and generalizability