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Similarly, in other countries, you can buy cartons individually that contain up to 400 cigarettes

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E-cigarette smoking appears to increase sympathetic tone, which is associated with a higher cardiovascular risk, and induce changes in electrocardiographic parameters of ventricular repolarization, which are linked to an elevated risk of sudden cardiac death, albeit to a lesser extent than traditional cigarette smoking [90,91,92]

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That means it does not reproduce the same rapid hit of a cigarette, but it can support the hand-to-mouth habit that many people struggle to replace