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What makes e-cigarettes so harmful to the heart and lungs is not just nicotine, said senior author Florian Rader, MD, MSc, medical director of the Human Physiology Laboratory and assistant director of the Non-Invasive Laboratory at the Smidt Heart Institute

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30 A recent meta-analysis indicated that in teens and young adults who have never smoked, the odds of smoking initiation are three to six times greater in those who have ever used e-cigarettes than in those who have never used e-cigarettes

Collier, R