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In humans, some studies investigating acute and chronic exposure to e-cigarettes have identified adverse effects of ENDS use on vascular health, particularly in those with no history of prior combustible tobacco

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The initiative also seeks to instill penalties on retailers and licensees rather than the youth attempting to purchase the products with a shift from the criminal penalty standard for youth violations to a civil penalty, removing any potential hardships faced for having a criminal record due to illegal tobacco purchases

Among our sample, those who smoked more cigarettes per day were more likely to use a wide variety of e-cigarette flavors and THC, which raises concern for polysubstance exposure