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I started smoking when I was 16

Less is known about the relationship between vaping and smoking among individuals with moderate levels of psychological distress (MPD), a group whose members may not experience serious mental illness but still endorse higher rates of mental healthcare utilization, impairment, substance use, and other risks compared to those with no/low psychological distress 24

The same 30-minute exposure did not lead to an increase in oxidative stress among the regular cigarette and e-cigarette smokers, the researchers noted, most likely because their baseline levels of oxidative stress were already elevated