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There is evidence that they are continuously using it and the levels of nicotine are quite high. Responding to another question, Prof Cox said that as far as he was aware there was very little evidence that there is a carcinogenic effect of e-cigarettes

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Dysregulated pain processing is increasingly recognized as a potential barrier to smoking cessation [88, 89] and emerging evidence suggests bidirectional relations between pain and smoking behaviors [90, 91]

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