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The formula is simple: Pack-years = (Packs smoked per day) (Number of years smoked) Example Calculations Lets look at a few examples: Example 1: You smoked 1 pack per day for 20 years

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Other unpleasant feelings or experiences you may encounter when high on substances include confusion, delusions and hallucinations, psychosis, high blood pressure, panic, nausea and vomiting, and racing heartbeat

We suggest against using e-cigarettes for smoking cessation for most people because of uncertainty about unapproved products, long-term harms, and public health impacts, but recognize that this may be considered for people who have unsuccessfully attempted other interventions or express a strong preference