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People who use e-cigarettes bypass many of the health risks of tobacco smoking, providing a healthful alternative

However, certain patterns may suggest that environmental smoke or vapour exposure is playing a role: Symptoms that worsen specifically in smoky or vape-heavy environments Nasal congestion that persists indoors but improves in fresh air Itchy, watery eyes accompanied by repeated sneezing after passive exposure Symptoms that do not follow a clear seasonal pattern, suggesting perennial or environmental triggers A noticeable increase in nasal symptoms despite avoiding known allergens like pollen or dust If you recognise these patterns, an allergy blood test may help clarify whether an underlying allergic sensitisation is present alongside environmental irritant exposure

The sensitivity to the effect of other hormones in your body is decreased

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Subsequently, 276 completed 12-month follow-up

If you are smoking, stop