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Klehr, Harvey

[177] The dual use of ECs and tobacco cigarettes is rising, and the growing popularity of ECs may promote the use of tobacco cigarettes in adolescents

Furthermore, these figures only account for cigarettes

Researchers at the Wellcome Trust Sanger Institute in the UK and Los Alamos National Laboratory in the US measured the catastrophic genetic damage caused by smoking in different organs of the body and identified several different mechanisms by which tobacco smoking causes mutations in DNA

To make matters worse, we've known since 1993 that the relapse rate for second time or subsequent NRT users is almost 100%