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Finally, somebody understands the struggle they're going through, he says

This symbolic meaning enhances enjoyment and encourages users to view each cigarette as part of a broader cultural experience

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One study showed that AMs from bronchoalveolar lavage fluid (BALF) of smokers and e-cigarette users are phenotypically distinct, with macrophages from e-cigarette vapers having elevated inducible nitric oxide synthase (marker for M1 macrophages) expression and reduced CD301a (marker for M2 macrophages) expression compared with nonsmokers or smokers(29)