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Cigarette smoke contains carcinogens and chemicals linked to biological mechanisms that contribute to poor reproductive and dental health and cause heart (cardiovascular) diseases, lung (pulmonary) diseases, and breathing (respiratory) diseases

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[18] The degree to which teens are using e-cigarettes in ways the manufacturers did not intend, such as increasing the nicotine delivery, is unknown, [107] as is the extent to which e-cigarette use may lead to addiction or substance dependence in young people