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This is possible but unlikely

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Similarly, the findings are limited by measurement error in the smoking exposure given that a majority of studies assessed exposure to smoking in a qualitative fashion and often on a yes/no basis instead of using a quantitative assessment

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Among both exclusive e-cigarette users and dual users, 37% reported positive health effects associated with the use of e-cigarettes, while 31% reported negative health effects since they began vaping (Supplementary file Figure 1)