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[15] Smoking also affects training costs as smokers are more likely to be discharged during training, and are associated with $18 million per year in excess training costs for the US Air Force, and over $130 million per year for all service branches

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Histological examinations of lung biopsies from vapers have revealed acute to subacute lung injury, including fibroblast plugs, hyaline membranes, and interstitial organization, indicating significant cellular damage

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