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A large national study found that, compared to alcohol alone, simultaneous use roughly doubled the odds of drunk driving and other harms

A study published in the American Heart Association journal Circulation 5 found no significant differences in heart attacks, heart failure, or strokes among dual-smokersthose using a combination of traditional cigarettes and e-cigarettescompared to those who smoked traditional cigarettes only

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Notably, multi-flavored E-Cig aerosols exhibit greater toxicity compared to single-flavor variants, emphasizing the potential risks of flavored vaping products during pregnancy