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The observational design of the study impacts our ability to determine causality between reasons for ENDS use and future ENDS/cigarette use

The burley flavor is good, and it packs easily

But you pull out your guitar and sing songs, and all of a sudden everybody knows you and says hello in the halls

If you are enjoying yourself and assume that immediately consuming more will equal more enjoyment, you can easily make yourself ill just as with consuming alcohol

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(State price data, 2025) $15 billion/year estimated healthcare cost attributable to e-cigarette use in the US