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Retrieved April 18, 2016, from American Heart Association

State Tobacco products, including loose tobacco leaves and any products made from tobacco leaves, in whole or in part, and cigarette wrappers, nicotine products (e.g., e-cigarettes or any product that employs an electronic, chemical or mechanical means to produce vapor from a nicotine product*), and nicotine dispensing devices** (e.g., any product that contains nicotine, including liquid nicotine, that is intended for human consumption, whether inhaled, chewed, absorbed, dissolved, or ingested by any means)

once air sacs are destroyed, they cant grow back, making the damage permanent

A review of twin and family studies