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Even though theres a lot of variability in what e-cigarettes are made of, we know that there are unhealthy particles that are being inhaled and exhaled. While the long-term effects of using e-cigarettes are still unclear, data from the National Youth Tobacco Survey indicates that youth who try e-cigarettes are twice as likely to try traditional cigarettes as those who never use e-cigarettes

What is a 30 pack-year smoking history