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dual product use may be worse Two related studies, one in humans and the other in rats, found that the cardiovascular effects of cigarettes and e-cigarettes are strikingly similar, and these harmful effects on blood vessel function are likely caused by airway irritation due to inhalation of a foreign substance, rather than a specific component of the cigarette smoke or e-cigarette vapor (aerosol)

20 May 2016 Hi Hilary, Thanks for your comment

Oral pathologist, Brad Rodu added some more interesting points to this subject

Will you preach every morning and evening, not lolling upon your elbows

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The draw demands effort, the smoke density commands presence, and the throat hit confirms that actual tobacco filled the cigarette rather than air and filler