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However, researchers note that the blood pressure reduction is too significant to attribute to anything else than vaping-assisted smoking cessation

Higher state cigarette taxes can have a final consequence, though it is difficult to quantify: smokers substituting cheaper "roll-your-own" cigarettes for commercial ones.[3] This "hand-rolled tobacco" may be smoked with or without a filter, thereby regulating the amount of nicotine according to the smoker's preference

Several American studies and publications have expressed the view that e-cigarettes could influence younger people to take up smoking or re-normalise previous smoking behaviours