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Forty participants, with no intent to quit, were given a 12-week supply of a JUUL e-cigarette loaded with a 5 percent nicotine pod

The link between nasal drainage and throat irritation is complex

Cigar smoke, though often richer and thicker, isnt generally inhaled, so the absorption rate is a bit slower, trickling in through the lining of the mouth and throat

At 24 weeks, the proportions of subjects achieving a 75% or 90% improvement in the PASI were 59% and 42% respectively, in the HUMIRA group (N=69), compared to 1% and 0% respectively, in the placebo group (N=69) (p 30)

The idea that smokeless tobacco or vaping is safer than smoking is widely promoted

If so, nicotine is the likely culprit