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Description
Long-term effects are still being studied

8: 112, vii

They include: Relaxation of the upper airway muscles caused by nicotine Increased upper airway inflammation Changes in sleep patterns (increased sleep deprivation, sleep fragmentation, etc.) More frequent sleep arousal caused by nicotine Research suggests that smoking can disrupt healthy sleep patterns
If a partner carries an STI in their genitals, they can pass that infection to anothers mouth or throat during the act

Theres also potential medical issues from the students passing vapes around
The researchers found the increased risk associated with vaping was more prominent in a type of heart failure called heart failure with preserved ejection fraction (HFpEF), which causes the heart muscle to become stiff and not properly fill with blood between each beat (the research did not find a similar connection to heart failure with reduced ejection fraction, another common form of heart failure)
