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The results were even better for people who had switched 100% to using e-cigs

The bottom of the list is dominated by states with rigorous tobacco control programs, cultural aversion to smoking, and higher education and income levels

Compared with nonsmokers, people who smoked regular cigarettes daily nearly tripled their heart attack risk, compared with a nearly doubled risk among people who used only e-cigarettes

We also used our new model to estimate the impact of a proposed Massachusetts cigarette excise tax of $1

In some cases, metabolism, hydration level, poor oral health, and damaged pouches (along with a plethora of unknown factors) may contribute to discomfort as well