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For many, the challenge isn't just the nicotine addictionits about the habit of holding a cigarette-shaped object and lighting it and watching the smoke rise

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28 OlmedoP.GoesslerW.TandaS.Grau-PerezM.JarmulS.AherreraA.et al (2018)

If a consumer indicates they use e-cigarettes, the carriers are expecting them to be uprated just as if they are a smoker, she said, noting that consumers arent actually asked about the type of tobacco products they use during the health insurance application process just whether they use them at all

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Yet many people still smoke cigarettes, even though this addiction can affect a person's libido, sexual performance, and fertility