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Meanwhile, a new Cochrane Review, published on Monday, concluded that there is high-certainty evidence that e-cigarettes work better than nicotine replacement therapy (NRT) in smoking cessation

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Another study from Nature Medicine reported that the vapor from e-cigarettes alters the microbiome of the mouth, promoting the growth of harmful bacteria and fungi

Both buccal and blood samples showed the activation of pathways involved in DNA damage, DNA repair, the cell cycle, and cancer, including the mismatch DNA repair, nucleotide excision repair, base excision repair, homologous recombination, and non-homologous end joining pathways