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(Source) Adults aged 18-44 are more likely to engage in dual use of both cigarettes and e-cigarettes than adults age 45 and older

These findings highlight the critical role of gut microbes in nicotine metabolism and underscore the importance of investigating the intricate relationship between smoking, the microbiome, and respiratory inflammation in future e-cigarette research

Additional work is also required to assess the prevalence and impact of dual use, whether the use of newer tobacco products is more likely to lead to complete abstinence from combustible tobacco use, and whether these products and e-cigarettes have adverse health effects if they are continued long-term