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But these new products are not covered by those regulations. Gilreaths study found several unique groups of users, including one cluster of teens (mostly boys) that used many forms of tobacco and newer alternatives, including cigarettes, cigars, chewing tobacco, e-cigarettes and hookah

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While E-Cigarettes have been around for a shorter time so more studies need to be done to clarify the risks, Public Health England's evidence review found E-Cigarettes to be at least 95% less harmful than smoking tobacco cigarettes