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The Biological Reality Both expose lungs to: Oxidative stress Inflammatory cytokine activation Epithelial barrier dysfunction Impaired mucociliary clearance What I Tell My Patients If the question is: Is vaping safer than smoking? The honest medical answer is: Vaping may reduce exposure to some carcinogens compared to traditional cigarettes but it introduces new chemical risks and does not make inhalation safe

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However, no statistically significant associations were observed between other participant characteristics and the prevalence of gastrointestinal symptoms (Table 4)