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Nearly 9 out of 10 adults who use tobacco began before age 18, with almost all starting by age 26

Results highlight how smoking can damage health not only for smokers and their children but also their grandchildren, the team said

The authors noted that despite the lack of understanding of the long-term health impact of e-cigarette use, the contribution of current e-cigarette use to rising healthcare spending is significant and should not be overlooked. This excess spending is particularly relevant for employers, who cover over half of Americans through employer-sponsored health insurance

Most new e-smokers are glad to simply be rid of tobacco and accept the fact that most e-cigarette tanks and drip tips are made of plastic

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