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[80, 81], using years 2014 ( n =36,697), 2015 (updated in a subsequent letter to the editor), and 2016 ( n =33,028) data, reported an odds ratio (OR) of 1.49 (95% confidence interval (CI), 1.062.09) for occasional e-cigarette users and 2.14 (95% CI, 1.413.25) in those vaping daily, which indicates high cumulative risk estimates for MI

We live in a time when heavy smokers are on the decline nationally and regular daily smoking is down, he notes, but social smoking is increasing and casual smoking is holding steady. What many of these casual smokers may not understand, he says, is the very real possibility of health problems associated with intermittent smoking

Once that occurs, the rest is history

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