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22 More comprehensive and long-term studies are needed

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The rise of smaller cigarettes could explain why total sales rose as the national smoking rate fell slightly

Jaspers, who was not involved in the study, added that even though it describes just one patient, it highlights the importance of potential adverse health effects associated with e-cigarette use. Additionally, the diagnosis of symptoms related to a number of serious lung conditions suggests that the negative health effects of e-cigarettes may manifest in several different ways, she said

The research has been published in Addiction .