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A survey of tens of thousands of high school students last year found that fewer than one-third thought smoking cigarettes made someone "look cool." Among the less obvious causes of the decline in smoking may be the generational effect

This is an important distinction: reduced exposure and reduced harms are not the same thing, meaning exposure to fewer toxic ingredients, especially in the context of dual use of both e-cigarettes and combustible products, does not necessarily mean lower levels of harm when people use the product

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