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Mitochondrial DNA mutations in head and neck squamous cell carcinoma: a systematic review and meta-analysis Mahtab Mottaghi, Farnaz Jafari, Marjan Nejati, Fatemeh Farshad, Zahra Khorshidi Asl, Faezeh Azmoudeh BMC Cancer 21

Diketones are present in cigarettes too, at 100-750 times the level of what's found in any vaping product

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Similarly, an advisory from the American Cancer Society notes that there is currently no evidence supporting a direct connection between e-cigarette use and getting COVID-19 and there is very little direct evidence that e-cigarette use affects COVID-19 outcomes. Messaging on vaping is complicated by the fact that millions of vapers are former smokers

Some scientific studies on the effects of this product are ongoing and not all claims have been definitively confirmed.