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He's a professor of cell biology and physiology, and member of the university's Marsico Lung Institute

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The JAMA study states that Further investigation can identify contributing factors resulting in higher toxicant concentrations among dual users. The most likely explanation is that e-cigarette use is a marker for people who are more intensive smokers and have found it harder to quit, Clive Bates, a leading tobacco harm reduction advocate and former director of Action on Smoking and Health in the UK, told Filter

Moreover, the nicotine effect in cigarettes and nicotine pouches is a bit different as well