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Results were published in the journal Chemical Research in Toxicology

They concluded: Our study strongly suggests that electronic cigarettes are not as safe as their marketing makes them appear to the public. One senior author, Jessica Wang-Rodriguez, a pathologist with the San Diego branch of the US Department of Veteran Affairs, said: Based on the evidence to date I believe they are no better than smoking regular cigarettes. Very few public health chiefs are likely to agree with her

Many patients with pathological changes may still present with preserved FEV1 and FVC values, thereby delaying the recognition of early or pre-COPD phenotypes

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