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One possible etiology is found in the flavorants added to the liquid, specifically diacetyl and 2,3-pentanediol, which have been shown to change gene expression of cilia on the bronchial epithelium in the respiratory mucosa (5)

[30] [31] [32] After leaving Ship Cove, Cook sailed down the east coast of the South Island, charting the coast and continuing the search for the southern continent

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It helps improve indoor air quality and prevents further damage