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Smoking affects nearly every organ in the body, from the lungs to the heart to the skin, and it also alters DNA and blood chemistry.The study titled "Hot Tea Consumption and Its Interactions With Alcohol and Tobacco Use on the Risk for Esophageal Cancer: A Population-Based Cohort Study" was published in the Annals of Internal Medicine in 2018

The Effects of Cigarette Smoke Exposure on Anthropometric Measurements, Lipid Profile, Fasting Blood Glucose, Fasting Insulin, and Blood Pressure in Overweight/Obese Adolescents Nur Aisiyah Widjaja, Claudia Felisia Magdalena Kurube, Febrina Mustika Santoso, Tausyiah Rohmah Noviyanti, Yoppi Yeremia Alexander, Rino Tryanto Keya, Edi Hermanto, Iitdrie, Eva Ardianah Jurnal Promkes 51

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Many vapes contain nicotine, which makes them addictive like cigarettes

Exposure to CC-smoke also activates Toll like receptor signaling 58