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The big limitation of the paper is that it assumes that e-cigs are so much safer than [cigarettes] that the authors dont need to consider any continuing use of e-cigs as a complication

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Some evidence suggests that adolescents who use e-cigarettes (vape nicotine) are at risk of progression to cannabis vaping or vice versa or to dual use of e-cigarettes and cannabis products

This requires building a local coalition. As for healthcare providers and tobacco treatment specialists hoping to address this issue, Delmonte offers this advice: You have to be able to resonate with the folks who want to quit

The choices of drivetrains and equipment make it easy to find a version suited to weekend household chores, off-road fun, or serious towing and hauling

doi:10.1136/tobaccocontrol-2019-054988 38