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Teresa To Smoking, whether it is regular cigarettes or e-cigarettes, is a modifiable behaviour (or risk factor) and it is associated with significant health risks, Teresa To, PhD, MSc, BSc, senior scientist at The Hospital for Sick Children and professor at the Dalla Lana School of Public Health at University of Toronto, both in Toronto, Canada, told Healio

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But spit tobacco is more addictive because it contains higher levels of addictive nicotine than cigarettes and can be harder to quit than cigarettes