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Health 22 , 153160

Table 3 Description of the studies selected about the association of EC use with the consolidation of tobacco and other substance use, and the evidence on EC use as a smoking cessation strategy In Figure 6, the number of studies confirming the limited evidence regarding the use of ECs as a smoking cessation strategy in adolescents (with three cross-sectional studies 56,79,82 ) or as a harm reduction strategy in smoking (with one cross-sectional study 94 ) is presented

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"I knew it was bad for me but I was in a vicious cycle of needing to get more and as soon as I had finished one I'd get another one - even when I'd get one confiscated, I'd immediately be set on getting another one." He says what began as "communal activity" became "very solitary" once he was addicted