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[14] [15] The mechanisms and clinical relevance of these effects in humans require further investigation

Water, L-Carnitine L-Tartrate, Acid (citric acid), L-Ascorbic acid, Flavourings, Preservatives (Potassium sorbate, Sodium benzoate), Sweeteners (Acesulfame-K, Sucralose), D-pantothenate calcium, Pyridoxine hydrochloride, Colour (Tartrazine**), Chromium (III)-picolinate

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In addition to gene expression analyses, a study using human nasal epithelial cell cultures found that e-cigarette aerosols increase cell size, alter nuclear structure, decrease proliferation and cell viability (103)

Strong shelf differentiation