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In addition, mesenchymal markers (S100A4, N-cadherin, Vimentin, and -SMA proteins) and ECM proteins (type I collagen and fibronectin) were also found increased in smokers and COPD

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1 2 "Drugstore and Cigarette Beetles | Nebraska Extension in Lancaster County"

You should stop or reduce the vaping frequency and/or lower the e-liquid nicotine strength to minimise irritation wherever possible
