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However, recent findings have highlighted that EC aerosols, containing nicotine, propylene glycol, and flavoring agents, disrupt the oral microbiome equilibrium while also promoting oral inflammatory responses, potentially exacerbating oral tissue damage

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Exposure to Agent Orange or other herbicides: Vietnam veterans and other people who have been exposed to Agent Orange or other herbicides are at increased risk of developing chronic B-cell leukemias

This might involve finding alternative, alcohol-free ways to socialize or manage stress, such as taking up a new hobby or joining a sober social group