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As it turns out, Lopez isnt alone: many celebritiesand even some world leadershave switched to vaping from cigarettes or other tobacco products

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It also did not consider that e-cigarettes are a fast evolving consumer product with ever-changing devices and chemicals, creating mixtures and exposures of unknown health consequences

43 Future work that examines a longer duration of e-cigarette use would be of value to better characterize the impact of these products on COPD outcomes

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