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Overall, 39 of the trials were judged to have a high risk of bias, said Braznell, including selective reporting of results

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The industry is trying to get them treated from a regulatory perspective and branding and messaging perspective as if theyre unequivocally safer and cause less harm than cigarettes, but they are much closer to a cigarette than e-cigarettes because of the heating process, said Tim McAfee, the former head of the Office for Smoking and Health at the Centers for Disease Control and Prevention

Hydrocarbon extraction is more versatile than its solventless counterpart, allowing for a wider variety of finished products

A Norwegian study of 26,000 smokers even showed that roll-ups were associated with higher, not lower, risks of lung cancer.