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These differences indicate that dual product use, meaning smoking combustible cigarettes and also using e-cigarette products, may actually be worse for vascular health than either smoking or vaping alone."

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According to the Respiratory Health Association and the Centers for Disease Control and Preventions annual publication Best Practices for Comprehensive Tobacco Control Programs, parks and beaches are the most commonly targeted environmental spaces for change in Chicago

Heath CJ, Picciotto MR (2009) Nicotine-induced plasticity during development: modulation of the cholinergic system and long-term consequences for circuits involved in attention and sensory processing