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Heat & Chemical Exposure Cigarette heat plus tar and other chemicals create ongoing micro-injury

This difference likely results from cigarettes' additional chemicals and faster nicotine delivery

Further, a larger bacterial load of BV-associated microbes predicted PID (Haggerty et al., 2020)

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Why Vaping (Nicotine or Not) Can Trigger the Urge Even nicotine-free vaping can cause: Rapid inhalation patterns Abdominal pressure changes Mild stress or stimulation of the autonomic nervous system These physical factors alone can stimulate bowel movement in sensitive individuals