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The presence of smoking with hypertension is one of the greatest risk factors for acute myocardial infarction and stroke, according to a meta-analysis of 10 cohort studies which included more than 60,000 people 17

[15] A 2014 study that tested 12 e-cigarette devices found that most of them contained tobacco-specific nitrosamines in the e-cigarette vapor

Some vapers resort to the black market, but this poses serious risksunregulated products may contain harmful ingredients or mislabeled nicotine concentrations

However, the high attrition rates and poor treatment adherence make it difficult to draw conclusions

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