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That assumption is wrong: If youre a dual userwhich is some 70 percent of people using e-cigarettesyoure worse off than if you were just smoking because they pose an independent risk on top of any smoking that you do. Compared to people who solely smoked cigs (or e-cigs), dual users had higher levels of nicotine, heavy metals, and some carcinogens, in their urine, which raises their risk of cancer, addiction, and everything from lung disease to infertility beyond that of single-use smokers, according to a recent study conducted by the CDC

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Of this $1.1 trillion cost burden pulmonary disease and lung cancer account for $154 billion

Smithsonian 10:176 Salem G, Juhl R, Schidt T (1984) Oral malignant and premalignant changes in shammah users from the Gizan region, Saudi Arabia