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Tobacco products and its smoking effects are a public health epidemic that, unfortunately, plagues millions around the world as ingredients in tobacco products are highly addictive

Impact of e-cigarettes on pulmonary cytotoxicity Independent studies report that e-cigarette aerosol can be cytotoxic to pulmonary cells (figure 3)

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The trend suggests that health care providers should routinely screen for co-use when a patient reports using either tobacco or cannabis