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Older individuals who smoked who had ever but no longer vaped represented the group with the highest CPD in our sample, suggesting that this group may be at the highest risk of negative health effects related to cigarette smoking and are less likely to benefit from the potential effects of vaping on daily cigarette consumption (due to their discontinued vaping)

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Though they may reduce exposure to inhaled toxicants, they still cause endothelial dysfunction, elevate sympathetic tone, likely impair autonomic regulation and increase BP