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[26] both found no significant association between baseline EC use and the development of functionally important respiratory symptoms (using a 7-item index of symptoms, with a cutoff of a mean score of 2+ on a 09 scale) in adults who never smoked

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For an extra touch, I sometimes add a small, edible sugar lighter or even a tiny candy matchbox. This really elevates it from just a cig cake to a fully themed masterpiece