Some of the studies relied on selfreporting by the participants and not always on biochemical verification, such as a carbon monoxide breath test or cotinine tests
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As mentioned earlier, e-cigarettes are often used as a supportive device for smoking cessation, and COPD patients have higher odds of using e-cigarettes compared to non-COPD patients [6]
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Carol Southard, an RN and tobacco treatment specialist at Osher Center for Integrative Medicine for the Northwestern Medical Group, notes that while nicotine causes the addiction, it is the additives to the cigarettes that are particularly dangerous