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Similarly, we investigated combustible tobacco cigarette smoking trends among American adults and, due to NHANES data constraints, were unable to include e-cigarette use in our analyses, even though 4.5% of adults aged 18 and over were current e-cigarette users in 2021, and e-cigarette use is associated with quitting combustible cigarette smoking 63,64

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Frequent exacerbations do affect quality of life and may result in greater loss of lung function over time. According to the Food and Drug Administration, over 40 percent of youth smokers and 30 percent of adult smokers in the United States report smoking menthol cigarettes

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