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Twenty-three percent of 18- to 29-year-olds report using at least two forms of tobacco, similar to the use of multiple forms reported by middle-aged adults and about double the percentage reported by seniors

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Its damaging to the adolescent brain by itself. Brian Primack, MD, professor of medicine, pediatrics, and clinical and translational science at the University of Pittsburgh Another recent study in the journal JAMA Pediatrics also found e-cigarette use raises the risk of graduating to cigarettes, and this years National Academy of Sciences study reports substantial evidence that youth and young adults are more vulnerable

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