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Swires hearing loss, such as noise exposure and previous tobacco smoking, but the potential harm to hearing of e-cigarettes is worth exploring further. Since the current discussion of e-cigarettes as a potential cause of hearing loss has largely involved musicians or DJs, Dr Miller emphasized that before drawing conclusions, a licensed audiologist would need to know if the patient had any noise-induced hearing loss before vaping, if there were other risk factors involved, and if they were consistent about wearing hearing protection

Farsalinos has frequently criticised studies for replicating this flawed methodology and has produced further papers including Do flavouring compounds contribute to aldehyde emissions in e-cigarettes