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Response: The NASEM report published in 2018 concluded that there is substantial evidence that e-cigarette use increases the risk of ever using combustible tobacco cigarettes among youth and young adults. footnote 7 Several longitudinal studies have reported a positive association between adolescent vaping and subsequent initiation of cigarette smoking

New users might experience mild gum irritation, especially with frequent use, but overall, the format is designed to be low-impact

R., Cowan, H., Wang, J., Sawdey, M

A week after the health interview and examination surveys, dieticians visit the participants homes for the nutrition survey