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E-cigarettes can damage cells related to innate and adaptive immunity in the respiratory tract, resulting in abnormal mucus composition, reduced epithelial barrier function, impaired phagocytic function, and elevated systemic inflammatory markers (especially type 2 inflammatory cytokines IL-4, IL-5, IL-13)

PMID 32253535

But a luxury lighter is not just about symbolism

For cigarette manufacturers, there's lots of use for them, whereas for a pipe-tobacco manufacturer, you don't really have use for them." The discernment of a blender like Jeremy is to understand what leaves work best for blends, and flue-cured tobacco is used in a variety of C&D blends that call for "Virginias." How Does Flue Curing Work