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However, caution is required in interpreting these results, as this perceivable benefit was accompanied with a significant elevation in liver enzymes, thus establishing these apparently beneficial changes as a mere reflection of the toxic damage of electronic cigarette liquid on the liver.94 Recently, electronic cigarettes have been proposed as a possible interfering factor in the splenocardiac axis, a signalling network involving the brain, autonomic nervous system and hematopoietic tissues

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Prior research suggests intention to quit smoking may not be influenced by others condoning the behavior but rather providers presenting convincing evidence and empathetic support to quit 20