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While theres currently less research out there about the connection between vaping and hearing health, it appears that vaping indeed carries similar risks to smoking cigarettes

Haziza C, de La Bourdonnaye G, Donelli A, Skiada D, Poux V, Weitkunat R, Baker G, Picavet P, Ldicke F (2020) Favorable changes in biomarkers of potential harm to reduce the adverse health effects of smoking in smokers switching to the menthol tobacco heating system 2.2 for 3 months (Part 2)

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The filter was changed to 20mm, because many people complained about the tube collapsing under the tipping paper and the 20mm filter took care of that problem