A recent systematic review with GRADE assessment found that smoking cessation and, in more limited evidence, switching to exclusive e-cigarette use were associated with early improvements in pulse wave velocity, augmentation index, and flow-mediated dilation, changes that are biologically compatible with improved arterial compliance and reduced vascular tone, and thus may contribute to lower blood pressure, although overall certainty was low (moderate only for RCT evidence on flow-mediated dilation) [25]
While he emphasized that he is definitely not advocating for smoking as a way to connect with others, he can see that for some its just something to do. Again, after the past few years when many of us legitimately or at least perceptually felt like we were doing nothing, I think many people are happy to be out of their homes, returning to society, and in many cases, making up for lost time, he added
Understanding these methods is essential to grasp the full scope of potential dangers
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