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Systematic reviews and meta-analyses showed that cigarette smoking is a risk factor for various skin diseases associated with skin barrier impairment such as atopic dermatitis 9 or psoriasis 10 supporting the link between cigarette smoking and skin barrier damage

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As a result, many people who vape may not notice classic warning signs like bleeding gums, even though damage is actively occurring beneath the surface

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Yale Universitys Abigail Friedman found that after the flavored tobacco ban was enacted, San Francisco area youth were twice as likely to smoke compared to young people in similar jurisdictions that had not enacted tobacco flavor bans