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Any who dealt with the first few generations of disposable vapes knows this is not a given

In Figure 4, several of the potential effects of e-cigarettes on health are shown, which are determined by various and ranging factors such as particulate size, climate conditions, battery voltage, vaping pattern, type of vaping instrument, age, gender, and health status [49,51-53]

Addiction 106, 18911892 (2011)

A healthy heart may get stronger and more efficient in response to exercise or pregnancy A weakened heart, on the other hand, might change its structure by enlarging in response to stress, hormone changes, inflammation, and/or the risk factors listed above