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J Rheumatol 30 : 12151221 Gabriel SE et al

23 showed an odds ratio of 2.49, suggesting that children with chronic recurrent tonsillitis were more than twice more likely to report exposure to secondhand cigarette smoke

These two facts can be reconciled

A rich dense plug, requiring a serrated knife

Some e-cigarette cartridges have a higher concentration of nicotine than an entire pack of cigarettes. Research shows that e-cigarette use by young people can have other health impacts, including chronic cough, chronic bronchitis and wheezing, increased heart rate and blood pressure, and an increased likelihood of smoking traditional cigarettes