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He cited research that focused on Needham, Massachusetts, which in 2005 became the first city in the nation to raise the minimum age of tobacco sales to 21

Of never users, non-daily and daily e-cigarette users, the highest proportion of respondents reported zero symptoms (65.8%, 56.8%, and 34.2%, respectively), compared to the highest proportion of daily smokers who reported experiencing one respiratory symptom (23.2%), and the highest proportion of dual users who reported experiencing two respiratory symptoms (25.0%)

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This population of microflora in turn respires, converting glucose and oxygen into carbon dioxide, water vapor and heat