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Despite our growing knowledge that smoking is harmful, more than 40 million Americans are cigarette smokers

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The findings directly challenge one of the most persistent myths in the wellness and smoking-cessation space

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But doctors are now warning that people who are trying to quit may start to use e-cigarettes in addition to conventional cigarettes -- a phenomenon Hamburg calls a "dual use pattern." This mixture is especially discouraged as the combined effect can be particularly harmful to blood vessels which increases the risk of heart disease, stroke and other cardiovascular issues