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Thus, while measures of toxicant exposure are reduced among individuals who use both cigarettes and vapes compared to those who smoke exclusively, cigarette consumption remains the primary driver of toxicant exposure, with high exposures among those who continue to smoke daily 13

There is a substantial number of e-cigarette products allowed on the market even before the U.S

You really could not design a more backwards public health outcome

Smoking-induced changes in the maternal immune, endocrine, and metabolic pathways and their impact on fetal growth: a topical review