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Further, e-cigarettes impaired host defense processes by reducing the antimicrobial activity of epithelial cells, alveolar macrophages, and neutrophils (117)

Updated December 13, 2022 at 2:12 PM ET Editor's note: A version of this story was originally published in December 2021

Whatever the cause, bisexual Americans also seem to share a few other worrying health trends: less access to health care, lower rates of vaccination, and, in the case of bisexual women, higher obesity rates

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Difficulty concentrating, energy slumps during the day, or a frequent need to smoke in order to keep going can also be warning signs

Also, there is a greater proportion of women who are protected against the damaging effects of systemic inflammation