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So even in the paper they said there was no hard evidence for what they were suggesting. In terms of the long-term impacts, Prof Cox cited research published earlier this year in the New England Journal of Medicine on ex-smokers who used e-cigarettes over a couple of years

These results suggest that the differentially expressed lncRNAs induced by CS in the lungs may participate in the pathogenesis and development of COPD and may provide new methods for the diagnosis and treatment of COPD

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