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However, a growing body of evidence now unequivocally demonstrates that smoking negatively influences the incidence, severity, and outcomes of a wide spectrum of hepatic conditions, including metabolic dysfunction-associated steatotic liver disease (MASLD), alcohol-related liver disease (ALD), chronic viral hepatitis (HBV and HCV), primary biliary cholangitis (PBC), and hepatocellular carcinoma (HCC)

Additionally, individuals who used e-cigarettes for longer than three years not only exhibit reduced microvascular function but also diminished macrovascular dysfunction, implying that those who use the product for a longer time are at risk of systemic vascular effects [128]