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Third, individuals who successfully transition from cigarettes to e-cigarettes may differ from the general non-smoking population in unmeasured ways, including greater health awareness, higher engagement with healthcare services, and more favourable lifestyle behaviours not fully captured by the available covariates

The only significant byproduct of vaping was nicotine, and nicotine levels were far lower in vapor than they are in smoke

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The BRFSS has informed data users about these changes and their potential impact on the estimates and trends but has not provided a means to adjust the data

The expansion of online tobacco retail platforms, including both dedicated tobacconist websites and broader marketplaces, has made premium international low tar brands accessible to consumers in markets where physical retail distribution has historically been limited