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With regards to possible aetiological routes, e-cigarettes dont usually contain sugars (this would clog up the heating element), but they often lead to a dry mouth and laboratory studies have shown it can make for a stickier plaque

Chronic low-grade systemic inflammation, triggered by constant exposure to tobacco chemicals, prompts the body to deposit more fat in the visceral region as part of its stress-response pathway

While they may reduce lung exposure, the nicotine still affects the heart

Acupuncture for smoking cessation and auriculotherapy are two alternative therapies that have shown promise in helping individuals quit smoking