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Department of Health and Human Services, most adults who smoke cigarettes started before age 18, so preventing cigarette smoking in adolescents is important to reducing smoking in adults

Also, keep in mind that e-cigarettes and vaping can have short- and long-term health consequences

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a lack of those can skew the ratings

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But the key is that in trials, smokers were getting "behavioral support" and guidance on how to use e-cigarettes as a cessation aid, said Terry Pechacek, a professor and tobacco control expert at Georgia State University, in Atlanta