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That helps explain the gradual decline in rates of cigarette use, which fell to an all-time low of 11 percent in 2022 and returned to that level again this year after a minor increase to 12 percent in 2023

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But vaping still delivers nicotine to the lungs via an aerosol containing propylene glycol, vegetable glycerin, and flavoring chemicals, and the long-term effects of those compounds are still being studied

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