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He says it's not clear if the increased tobacco spending reflects existing smokers buying more, or if it reflects new smokers picking up the habit

Pushing Cool: Big Tobacco, Racial Marketing, and the Untold Story of the Menthol Cigarette (2021) excerpt Winkler, John K

In one report, people who used e-cigarettes and people who smoked combustible cigarettes had greater increases in blood pressure, heart rate and blood vessel constriction, immediately after vaping or smoking, compared to people who did not use any nicotine

It is not broken but will need some adjusting

Briefly, human tracheobronchial epithelial cells were harvested from lungs rejected for transplantation provided by the University of Miami Life Alliance Organ Recovery Agency for research with appropriate consent and in accordance with the declaration of Helsinki