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Frequent nicotine exposure throws off natural sleep timing and lowers overall rest quality

Over time the same mechanisms increase cardiovascular disease risk, which undercuts the long game for fitness. VO2 max and endurance dip Smokers show lower maximal oxygen uptake and poorer cardiorespiratory responses even in healthy adults

How Central Oregon schools handle the smoke The Bend La-Pine School District says it has has mitigation strategies in place to reduce smoke exposure such as adjusting HVAC air flow and limiting outdoor activities

[55] Concerns exist that the flavors and additives in e-cigarettes might lead to diseases, including the popcorn lung