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Kent Hutchison, a professor of behavioral neuroscience at the University of Colorado Boulder and co-director of the CU Change Lab, co-authored a study that serves as a conversation starter for which substance is worse

Just know there are cheaper, safer, and far less self-destructive ways to get things movingcoffee, exercise, and eating a vegetable, for example

Compared to those who never used ENDS, daily users were more than two times more likely to report having ED (2.2 times in the full sample and 2.4 times in the restricted sample)

However, the absence of dedicated interaction studies does not mean the combination is safe