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The Biological Reality Both expose lungs to: Oxidative stress Inflammatory cytokine activation Epithelial barrier dysfunction Impaired mucociliary clearance What I Tell My Patients If the question is: Is vaping safer than smoking? The honest medical answer is: Vaping may reduce exposure to some carcinogens compared to traditional cigarettes but it introduces new chemical risks and does not make inhalation safe

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In mid-June, we had another opportunity to visit the Oregon Gardens in Silverton, Oregon

National Center for Advancing Translational Sciences, Penn State Highmark Gift Fund, National Institute on Drug Abuse and Pennsylvania Department of Health Tobacco CURE Fund supported this research