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Among those at risk for initiation, adolescents and young adults were more likely than adults aged 26 or older to have used smokeless tobacco for the first time in every year between 2002 and 2014

Similarly, in another study, observations of increased biofilm formation of Staphylococcus aureus and human cell adherence in the presence of cigarette smoke (CS) indicate the role of bioactive effects of CS on resident microbiota in the pathogenesis of respiratory infection in CS-exposed humans [34]

Bethesda: National Cancer Institute

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Vaping, on the other hand, uses vape juice, which produces a clean vapor that doesn't fill the lungs or mouth with smoke