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A 2026 study published in ScienceDirect calculated 129 million adult nicotine vapers in 2025, up from 50 million in 2018

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Meanwhile, chronic respiratory symptoms (cough, phlegm, or congestion) for 3 months were more common in ever exclusive HTPs users and ever dual users than in ever exclusive CC users among Hong Kong youth 32

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History seems to be repeating itself

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