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Millions of Americans use electronic cigarettes (e-cigarettes), even as rates of smoking 1 combustible tobacco cigarettes continue to decline among youth and adults

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If youre someone who values clear skin, healthy hair, and a youthful glow, it might be time to reconsider how nicotine is affecting you

The most worrying part is that people underestimate its impact because the damage is slow and silent. The Cigarette Comparison: What the Science Says Several international studies have attempted to quantify the impact of polluted air by translating it into an intuitive and relatable metric: its equivalence to cigarette smoking