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The first author of the review, professor Thomas Mnzel, of the Department of Cardiology of the University Medical Centre Mainz in Mainz, Germany, said in a statement: Our review focuses primarily on the adverse effects of these three smoking and vaping techniques on endothelial dysfunction and the relation to oxidative stress and, secondly, on clinical disease

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Smoking is still very much an issue that contributes to tuberculosis, and that risk is compounded by air quality and life choices.