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teens who tried electronic cigarettes might be more than twice as likely to move on to smoking conventional cigarettes as those who have never tried the devices

Lack of serological screening might have been a problem if smoking was linked to CD with minor symptoms (and remaining undiagnosed) but considering that some of the lowest risk estimates for CD (OR = 0.15) was seen in the study by Snook et al [22] where all patients suffered from malabsorption and diarrhoea this is unlikely to be the case