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In addition, they wrote, sales data might not reflect actual consumption, because all purchased products might not be used by the consumer because of loss, damage, or tobacco cessation. And because per person estimates of tobacco consumption are not exact, the authors point out that an upward trend in tobacco consumption does not necessarily mean that more Americans are using tobacco products

Serious vaping side effects may include: Cryptogenic organizing pneumonia (COP), formerly known as idiopathic bronchiolitis obliterans with organizing pneumonia (BOOP) E-cigarette or vaping product use-associated lung injury (EVALI) Heart attacks Nicotine addiction Popcorn lung Seizures Severe lung injury Strokes According to a 2020 review published in The Journal of Physiology, e-cigarette exposure can reduce lung function, increase airway inflammation and weaken the immune system, increasing the risk of respiratory infections

45.Wagener TL, Floyd EL, Stepanov I, et al