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Yes, even occasional smoking can acutely impair anti-reflux mechanisms and trigger symptoms in susceptible individuals

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Other data indicates that youth e-cigarette use can perpetuate a cycle of anxiety, with young people taking up e-cigarettes to find relief from anxiety, stress or depression, and then feeling those symptoms again when going through temporary withdrawal from nicotine

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This exposure in a tightly confined, recycled-air environment can exacerbate health issues and create an uncomfortable or unsafe flying experience for others