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Vaping inhales heated aerosol directly into the lungs, exposing runners to metals, flavor chemicals, and oxidative stress that cause inflammation, reduced oxygen delivery, and diminished endurance capacity

Visits occur during the day at the Penn State University College of Medicine Clinical Research Center in Hershey, PA and George Washington University Milken School of Public Health and Medical Faculty Associates in Washington, DC

These are descriptive process data and relate only to the intervention group

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Now, thanks to the more recent introductions of smoke-free options like e-cigarettes and nicotine pouches, we are in a totally different landscape when it comes to commercial nicotine products, Hartmann-Boyce said