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However, the reasons for not following international common practice are complicated

How many smokes in a pack

There is an assumption that these devices are safe without any detrimental effects on the person that is using it, and also others

Respiratory symptoms experienced due to exposure to other peoples exposure to tobacco smoke were measured by asking questions: Have you ever coughed or experienced flu-like symptoms after exposure to smoke from other peoples cigarettes?, and Have you ever had headaches after exposure to smoke from other peoples cigarettes?

I was lamenting to her the fact that I actually know quite a few people who are bipolar, but theyre so well treated that I couldnt engage with them when they were actually manic and observe them in that state