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Now that nicotine-only products are on the market, it will take a few decades to see if the rate of cancer development in users is similar to that of smokers or oral tobacco users

Indian Journal of Medical and Paediatric Oncology

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While there is some evidence generally showing small effects that using another nicotine product first can lead to cigarette smoking, prior use of another nicotine product does not appear to be a major driver of becoming a regular smoker

Young people can become addicted before they are old enough to understand the risks, said Wisconsin Department of Health Services Deputy Secretary Deb Standridge