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Anyone with an active malignancy or a recent cancer history should not be stimulating this pathway outside of specialist oversight, because the growth hormone and IGF-1 axis is directly involved in cell proliferation

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Acknowledging the detrimental health impacts linked to individual metals as noted, our findings illuminate the potential role of those metals, varying in concentrations based on puff volume, originating from the ENDS aerosol mixture in contributing to the overall health effects of ENDS use and the risk of potential disease diagnosis and progression