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Mechanisms such as oxidative stress, cytotoxicity, inflammation, mitochondrial dysfunction, and DNA damage have been documented in cell models and appear to be influenced by factors including liquid dosage, the chemical composition of flavorings, and the type of device used

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Schools, families, and communities all play a role in shaping how youth view tobacco use and what support they have when facing pressure to try it

Omega-3 fatty acids also appear to have an antiplatelet effect, which may be a concern in those being treated with antithrombotic medications