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Surgeon Generals Report on the health consequences of involuntary exposure to tobacco smoke concluded, The scientific evidence indicates that there is no risk-free level of exposure to secondhand smoke. [24] Since SHS is the precursor to THS and THS has now been shown to include some of the same toxicants found in SHS, we find it prudent to operate under the assumption that there is also no risk-free level of THS exposure

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Diagnosis is made by exclusion of other lung diseases and by analysis of the patients history of using electronic cigarettes

33 A Cochrane review also found a 34% increase effect from the use of pre-cessation patches