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Adolescents aged 1314 years (early users) who use ECs have higher rates of subsequent cigarette smoking initiation than adolescents aged 1415 years (late users) who report using ECs 49

Environmental conditions can also trigger this

Appropriate oral hygiene becomes essential here to prevent such undesirable effects

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The odds of smoking were 3.5-times higher (95% CI = 2.45.2) in e-cigarette users when compared with never-users (23.2% of previous e-cigarette users reported smoking versus 7.2% of never-users) 51

Vaping among youth remains a significant concern, with approximately 1.63 million U.S