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Odds ratios (OR) adjusted for gender, age and race revealed a fourfold higher risk of lung cancer among individuals who vaped in combination with chronic smoking (OR=58.9, 95% CI=47.3-70.5) versus individuals who only smoked cigarettes (OR=13.9, 95% CI=12.7-15.3, P 59) treated as an independent variable to estimate the adjusted odds ratios for vaping plus smoking com-pared to smoking alone

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Once there, it crosses over into their bloodstream through millions of tiny air sacs called alveoli

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