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Very different effects

Long-term use of e-cigarettes increases lung inflammation levels, including macrophages, neutrophils, eosinophils, and basophils, promotes the migration and infiltration of inflammatory cells from the blood to the respiratory tract, stimulates the production of Th2-related cytokines (IL-4, IL-5, IL-13), and exacerbates inflammation [40, 49]

In fact, wood fibers are the thinnest natural fibers used in rolling papers and can even be stretched during production to make ultra-thin papers