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The negative pressure created by suction is often more than enough to dislodge the vital blood clot
Further, since epidemiological studies have consistently shown high rates of concurrent use of multiple tobacco products [34,35,36], therefore the impact of concurrent exposures to two products (HTPs plus combustible cigarettes and HTPs plus e-cigarettes) on pulmonary health needs to be evaluated and compared to exclusive exposure to alternative tobacco product and abstinence from all tobacco products
Ollie Ganz et al., Regional Variations and Market Share of FDA-Authorised Products for Top-Selling Electronic Cigarette Brands in the USA: 20222024, Tobacco Control , April 22, 2025, Emma Rumney et al., How Middlemen Funnel Illegal Chinese Vapes into the United States, Reuters, June 23, 2025, Mark R
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