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Despite the effectiveness of e-cigarettes, Darush Attar-Zadeh, an independent prescriber and clinical fellow respiratory pharmacist at North West London Integrated Care Board, expressed concern

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Mechanical breakage is often the problem, usually, this involves the incorrect/ careless loading of materials, or sometimes it is because the machine becomes dirty inside

The relatively short period of e-cigarette use (~24 hours) before the lab session was likely inadequate to stabilize e-cigarette puffing behavior