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The class bias of the nonsmokers' rights movement is still present today: Nonsmokers tend to be more educated, wealthier and more likely to work than smokers

ENDS exposure also increased immune cell number infiltration in bronchoalveolar lavage and levels of multiple COPD-related cytokines in the lungs, including CCL2, IL-4, IL-13, IL-10, M-CSF, and TNF-

It doesnt get the top spot because it doesnt have the seal of approval from the ADA, and it is pricey