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These serious effects of nicotine are supported by the findings of Flouris et al., who noted the same cotinine levels in healthy non-tobacco smoking patients using nicotine e-cigarettes as in tobacco smokers (49)
BPDE undergoes chemical reactions with DNA and can turn on or off certain genes which alters protein production or the ability for DNA to duplicate properly
E-Cigarettes, Vaping, and Youth. JAMA 312(6):595-596