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It's common for a cough to temporarily worsen as your lungs work to clear out accumulated tar and mucus

Association of smoking status with angina and health-related quality of life after acute myocardial infarction

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Research shows that nicotine in e-cigarettes increases the infiltration of inflammatory cells, including eosinophils, from the blood into the airways, stimulates the production of type 2 inflammatory cytokines such as IL-4, IL-5, and IL-13, and promotes mucin secretion, exacerbating airway inflammation and hyperresponsiveness, ultimately worsening asthma [66, 67]

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