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Guidance on the health risks of smoking, such as the Surgeon Generals Reports on smoking 26,27 , is often based on experts evaluation of heterogenous evidence, which, although extremely useful and well suited to carefully consider nuances in the evidence, is fundamentally subjective

Participants were categorized as exclusive cannabis users, exclusive e-cigarette users, nonsubstance users, or dual usersthose reporting daily or some-day use of both e-cigarettes and cigarettes

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Image credit: 2023 Findings on Youth Tobacco Use ( Image note: Students here means middle- and high-school students

Reynolds, but the economic realities have shifted dramatically since his youth