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The mean RR of COPD at 20 pack-years was 3.17 (1.606.55
[56] While the health of people who smoke may improve if they switch entirely to e-cigarettes, continuing to use both cigarettes and e-cigarettes poses unique health risks with exposure to different toxicants from each product, and may result increased respiratory symptoms
Smoke coming from directly burning tobacco, without necessarily smoking it, is also referred to as second-hand smoke
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