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With vaping, we may still be in the early chapters of a story that could unfold very differently than promised

This suggests that early e-cigarette effects might be subtle or primarily affect small airway function and respiratory comfort rather than gross lung volumes in the short term

The brand has some of the highest nicotine content in its pouches, so fewer pouches are needed for frequent use, meaning people switching from vaping or cigarettes could find huge monthly savings

Another important factor is shared neurobiological and genetic vulnerability

But translating this into a health recommendation for healthy people requires several leaps that the evidence does not support: Correlation does not establish causation