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Supportive Environments: Creating smoke-free environments in public spaces, workplaces, and homes is essential to protect non-smokers from secondhand smoke and promote social norms that discourage smoking

Any number of these risk factors or a combination of them could be a better explanation than vaping per se for why youth who vape are more likely to also smoke

Dehydration Believe it or not, vaping can dry you out

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It comes from a 2010 meta-analysis of Social Relationships and Mortality Risk (see Figure), which benchmarked the size of the effect that lacking social connection has on risk for premature mortality against the effect of other known risk factors, including smoking