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Ethics declarations Ethics approval and consent to participate Not applicable Consent for publication Not applicable Competing interests The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper

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Studies reporting a significant association: summary and critical appraisal Despite the studies above being reassuring in lacking statistically significant evidence of respiratory outcomes of EC use by both youth and adults who never smoked, other studies have reported mixed outcomes indicating possible respiratory risks following EC use

She noted that withdrawal symptoms, such as headaches and a dry mouth, can worry people but these will pass and are actually positive signs that the body is ridding itself of nicotine

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