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[28] noted that in Bhatta and Glantzs analysis [31], the majority of EC users currently or formerly smoked: only 12 participants out of 17,601 used ECs but had never smoked cigarettes, and none of these 12 developed respiratory symptoms in the PATH waves examined

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Even if a quantitative analysis using pack-years is performed, it may be inaccurate because it relies on memory

I slept on this for years

Nicotine-containing vaping products remained nearly flat, rising 0.5% YoY