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While we were unable to directly assess causal pathways underlying overall PM deficits in our sample, prior evidence suggests several possible mechanisms

A 2018 report by the US National Academies of Sciences, Engineering, and Medicine concludes, [w]hile it is biologically plausible that nicotine can act as a tumor promoter, the existing body of evidence indicates this is unlikely to translate into increased risk of human cancer. (Wikipedia) I conclude that persuading people who smoke to switch to vaping does almost as much good as persuading them to quit entirely, hence that for anti-smoking groups to emphasize the dangers of vaping, as they do, is probably a mistake if their objective is to reduce the number of smokers

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