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My past research and that of my colleagues have shown there is significant tobacco use uptake and relapse in between ages 18 and 21

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However, the rise of Electronic Nicotine Delivery Systems or ENDs, commonly known as e-cigarettes or vape, has introduced new questions

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Additionally, research shows that vaping is often a gateway for cigarette smoking, with 17 studies showing that e-cigarette use was associated with substantially increased odds of future cigarette smoking