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These viruses can cause the eustachian tube in your ear to swell, blocking air from reaching the middle ear

Evening Standard - Vaping could be just as dangerous as smoking, study finds Environmental Health Perspectives - Flavoring Chemicals in E-Cigarettes: Diacetyl, 2,3-Pentanedione, and Acetoin in a Sample of 51 Products, Including Fruit-, Candy-, and Cocktail-Flavored E-Cigarettes CDC - E-cigarette use triples among middle and high school students in just one year NBC News - E-Cigarette Ads Target Millions of Kids, CDC Says The Denver Post - Colorado Vapers Burned By Exploding E-Cigs The Lancet Journal - E-cigarettes: Public Health England's evidence-based confusion Center For Tobacco Control Research And Education - UK report claiming e-cigs 95% safer than cigs based on one industry-linked report questions PHE's scientific credibilty

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However, most studies that have looked at this association have not been able to disentangle whether this is a cause-and-effect relationship, and if so in which direction