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Patients may not readily admit that theyre using the material, but if a radiologist recognizes these patterns and then tells the clinician that it could be vaping-induced injury, then maybe they could test for a nicotine metabolite or ask the patient about this exposure. Such an approach could help reduce lung biopsies, which carry considerable expense, some risk of complications and additional anxiety for the patient

Pipe smoking is seen as an old mans pastime

A recent systematic review reports little evidence and no significant effect of biomedical risk assessment on smoking cessation 33

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Still, since it is a cigarette with a long history of being smoked since the early 20th century, it still has a strong fan base, and a lot of consumption is mainly made by enthusiasts even in overseas countries