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Alexander Roehm, 23, of Cincinnati, Ohio, who smokes 10 to 20 cigarettes a day and also chews tobacco

The New England Journal of Medicine

There are likely some damaging respiratory and cardiovascular effects associated with vaping, so relatively less harmful didn't mean without harm
When considering only smoking status and pack-years, men had an increased risk for all-cause death, which was higher in those with greater smoking history

Geek Bar Digiflavor Sky: Contains 800 mg of nicotine (16 ml with a strength of 50 mg/ml)

doi:10.1080/14622203710001649696
