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Chronic inflammation can damage the tiny hair cells in the inner ear that are responsible for detecting sound, as well as the blood vessels and nerves that support hearing

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The e-cigarette, available in various forms, has become the most easily accessible addictive product for people to purchase, found in gas stations, e-cigarette shops, and online stores

Nicotine is what makes tobacco products addictive

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Third, we only report cross-sectional population level prevalence rates and do not consider individual patterns of tobacco product use which are likely complex with people transitioning overtime between different tobacco products use states, including using more than one product at a time (i.e