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Furthermore, for young adults, smokeless tobacco was related to the onset of smoking behavior, and it had more impact on young adults [26, 42]

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The combination is especially concerning in certain groups

Exposure to e-cigarette advertisements has been shown to significantly increase susceptibility to vaping amongst adolescents [1]

Even though the condition does progressively worsen, it does not do so as quickly in people who do not smoke as it does in those who smoke