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"Clinicians need a more nuanced approach that incorporates other ways to identify and quantify cigarette use, like smoking status and smoking intensity," Miao said, noting that whether it's smoking one cigarette a day or one a week, no amount of smoking is safe, and quitting remains the best thing someone can do for their health

The scientific evidence on the short-term and long-term health effects of the use of ESDs and exposure to ESD secondhand aerosol is growing, and the initial findings indicate there are risks associated with both use and exposure

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