Cigarettes release over 5,000 chemicals when they burn and over 70 of those are known to cause cancer
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Instead, the lower prevalence observed among exclusive e-cigarette users may reflect factors such as age, body weight, lifestyle characteristics, prior smoking history, healthcare engagement, or other residual confounding variables
"Intelligence received from inspectors, investigators, and law enforcement officers working in the field indicates that the smuggling of untaxed tobacco and [Electronic Nicotine Delivery Systems] products remains a challenge." At $3.51 per pack, Massachusetts isn't even the most heavily taxed state when it comes to cigarettes, nor does it have the largest black market in tobacco products
You have no idea what is inside them