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Birth cohort studies of the first generation have yielded unclear results because they usually rely on parent reports of both smoking and child outcomes

Furthermore, nicotine has been shown to induce endothelial damage and apoptosis [23], with other studies suggesting that nicotine consumption through ENDS promotes tissue remodeling, causing vascular dysfunction via damaged endothelium [24]

It may also be a more socially acceptable option in certain areas and can be more affordable in the long run

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Their lungs may also grow more slowly than kids whose parents don't smoke