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The more northern tribes may have adopted smoking from Asia by way of the Eskimo, but their pipes show little resemblance to the Asiatic forms, and they probably learned the practice from white visitors

[38] [39] These products were used to discourage quitting, by offering unwilling smokers an alternative to quitting, and implying that using the alternate product would reduce the hazards of smoking

Diving a little deeper, former e-cigarette users (those who used e-cigarettes in the last 12 months but stopped) had 20% greater odds of developing any respiratory symptom, and 41% greater odds of developing wheezing in the chest

[PubMed: 18072829] Covey LS, Tam D

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Once this happens, air becomes trapped in pouches of tissue that has been damaged and the lungs become larger