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In comparison, tobacco smoke has been shown to have a more significant impact on the gut microbiome, but this does not mean vaping is without its dangers

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This trend suggests a growing risk of nicotine addiction, which could lead to the use of traditional tobacco products

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Step 1: Upper GI Endoscopy + Biopsy (non-negotiable if symptoms persist) Endoscopy directly visualizes inflammation, narrowing, ulcers, or growth and allows biopsy for confirmation