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This is because the airways are much less inflamed without constant exposure to cigarette smoke and the chemicals contained within cigarettes

And thats creating a confusing picture for researchers: A 2018 report from the National Academy of Sciences that attempted to synthesize all of the studies available up to that time stated there was moderate evidence that e-cigarettes were effective as a smoking cessation tool but noted there was a discrepancy between randomized trials where the effect was evident, and observational surveys where it was not

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Unfortunately, that unpredictability is part of the danger

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Only a small percentage of respondents across all age groups agreed or strongly agreed that teenage smoking is acceptable