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That being said, other researchers suggest that a cause-and-effect link between smoking and diabetes cannot be confirmed, as many other factors such as diet, exercise, genetics, body fat distribution, and stress also contribute to the onset and progression of type 2 diabetes
nonetheless, the presence of nicotine could somehow perpetuate platelet functional changes in a dose-dependent manner, making its role in electronic cigarette-induced damage even more inconclusive.81 Another link to cellular dysfunction induced by vaping was provided by a study analysing the response of liver Kupffer cells both to classic and electronic cigarette extracts exposure
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