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Among middle and high school students overall , the most commonly used tobacco product combination among multiple tobacco product users was e-cigarettes and cigars (17.2%), followed by e-cigarettes and cigarettes (13.3%), and e-cigarettes and smokeless tobacco (9.8%)

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In March 2013, Yum

The authors noted that up to two-thirds of people who smoke cigarettes long-term will die of a smoking-attributable disease

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If a student is vaping and they are having nicotine withdrawal in class, they may not be paying attention to the teacher but rather thinking of when they can get their next nicotine dose