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According to the study, of the 47 million American adults who currently use any tobacco products, about 9 million (19%) use two or more tobacco products, with the most common combinations being cigarettes and e-cigarettes

In fact, there may be notable health benefits, such as lowering the risk of a heart attack

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However, while the smoking paradox may be explained by major epidemiologic differences between Western and Asian populations, such as smoking amount, age at smoking initiation, and the use of filtered or mild tobacco, we cannot conclude how much these factors may explain this phenomenon, as relevant genetic differences have not been sufficiently elucidated