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Another theory about why they might trigger bouts of reflux is that we consume acidic liquids with a sour taste (lemon juice in lemonade, for example) differently than those with a neutral pH, such as plain water: We take longer to consume these sour drinks, and we swallow more

"Another theory is that youth who vape develop friendship networks with smokers, which increases their risk of smoking." And the differences in motivation can lead to different results, notes Marvin M

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Menglu Y, Sarah C

The delivery method changes the harm profile (no tar, no combustion byproducts with vaping), but the appetite-suppressing chemical is identical