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Vaping, often seen as a safer alternative, might not be much better in this department

Conversely, it decreased to 59 for those who used it more than 30 times daily

Study co-author Dr Susan Cheng said: "Providers counselling patients on the use of nicotine products will want to consider the possibility that e-cigs may confer as much and potentially even more harm to users and especially patients at risk for vascular disease.

While this is the appropriate move for our future, we understand the impact this decision has on our Nashville colleagues, their families and the community, and we are committed to supporting our employees through this transition." Nashville employees will be encouraged to apply for available positions in Hopkinsville and Richmond, Virginia