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Electronic cigarettes eliminate tobacco combustion but still deliver nicotine and create suction pressure during inhalation

You have a puff as well

Other user behaviors, like the number of daily cigarettes, can also impact overall consumption

The study has several limitations, they noted, including that most participants in the cohort studies were white and that the associations between smoking and mortality could be confounded by differences between smokers and nonsmokers with respect to risk factors including diet, physical activity, and access to medical care. The studys findings underscore the need for continued efforts to reduce the number of people who smoke, wrote Graham Colditz, M.D., of the Washington University School of Medicine, in an accompanying editorial

It says here on page four look

The digestive system works on the whole body and since after a meal it is very active, the nicotine from the cigarette binds with the oxygen in the blood