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Vaping still delivers nicotine, and the vapour damages the same vessel lining that cigarettes do (Pincus, 2022)

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Clear studies of smoking in diabetic patients clearly confirm the increased prevalence and increased risk of early death associated with the onset of large vascular complications. Increases belly fat and cortisol In addition to increasing the need for insulin, it is linked to more Belly fatobesity, and Cortisol

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Accordingly, the worldwide prevalence of overweight (BMI 25 kg/m 2 ), obese (BMI 30 kg/m 2 ), and severely obese individuals (BMI 40 kg/m 2 ) are increasing [234]