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Additionally, e-cigarette aerosols contain other toxic chemicals such as acrolein, acetaldehyde, and reactive oxygen species, which have been linked to increased airway resistance, impaired lung function, and long-term respiratory health risks similar to cigarette smoking, potentially contributing to COPD development 21

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Activities such as heavy lifting, repetitive motions, or sudden movements can strain the chest muscles and put pressure on the cartilage, leading to inflammation