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Toxicant exposure is greatest among dual users..." In other words, people who smoke and vape are exposed to the highest levels of toxicants, but people who only vape are exposed to lower levels of toxicants

These multiple impacts continue growing, which, of course, is adding unnecessary pressure to our planets already scarce resources and fragile ecosystems. According to researchers and activists, tobacco is implicated in adding pressure to violating at least five critical planetary boundaries: impacting Earths biosphere integrity, climate change, the release of novel entities (including toxic pollutants), freshwater use, and land-system change

Do not assume all vapes hit the same way

J Epidemiol Community Health 41(1):3036