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So where does this confusion come from

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An inhaled PM 2.5 dose of about 12 mg corresponds to about one cigarette per day, which produces a relative risk of 1.53 (both sexes combined), reassuringly in between our estimate of 1.48 for men and 1.57 for women (coronary heart disease) using our simpler log-linear model (and close to 1.63 for cardiovascular disease and both sexes combined)

Recent reports of rapid onset changes in aortic stiffness after exposure to vape, of mice exposed to vape with nicotine developing features of chronic obstructive pulmonary disease (COPD), and the suppression of immune and inflammatory-response genes in nasal cells are examples of possible early causes for concern