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Nitrosamines are found in all tobacco products, but smokeless tobacco has very high levels

Essentially it is best to avoid smoking and vaping all-together

It has been really hard for me the first few days Health impact of dual use Dual use can pose health risks comparable to or potentially higher than exclusive smoking, with increased odds of several diseases and health conditions, including: Cardiovascular disease: Dual users have been found to have significantly higher odds of cardiovascular disease compared to those who smoke cigarettes but have never vaped

In fact, Philip Morris sells over 740 billion cigarettes worldwide each year