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However, the first large study testing this showed almost the opposite: Smokers who used e-cigarettes to quit were no more likely to succeed over the long term than smokers who used inactive placebo e-cigarettes

that is, there may be greater oxygen ingress to the burning coal in a reduced circumference cigarette

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And Massachusetts itself was actually the biggest supplier to Providencethough that was in 2011, before Massachusetts raised its tax to $3.51, a penny more than Rhode Islands

Since then, e-cigarette use has exploded, particularly among teenagers, with 2018 sales generating over $2.3 billion in revenue