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Talbot and Omaiye advise vapers to exercise caution with high-puff devices, particularly as the devices approach the end of their life

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However, smoking has many other health effects and the potential benefits of simply reducing the number of cigarettes smoked without quitting should be weighed against the following: Nicotine is a reproductive toxicant and smoking has been found to contribute to adverse health effects on pregnancy including preterm birth and stillbirth