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These are preliminary, exploratory findings because we didnt have great quantification of the amount smoked and vaped

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Furthermore, given that our study population mainly comprised younger adults in their mid-40s with relatively higher socioeconomic statuses, it is probable that they had better access to medical care as compared to the general population [26,27]

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It should also be noted that the National Academies of Sciences, Engineering, and Medicine in 2018 released a report summarising available evidence regarding the public health consequences of electronic cigarette use.99 That report concluded that there is no available evidence as to whether or not electronic cigarette use is associated with clinical cardiovascular disease outcomes and subclinical atherosclerosis