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Users of high-voltage e-cigarettes need to be warned about this increased risk of harmful effects. Goniewicz recommended further research to examine other product characteristics that may impact toxicity, such as the types of heating elements, flavorings, additives and product storage conditions

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Celebrities continue to play a pivotal role in shaping smoking trends, ensuring that, from traditional cigarettes to modern e-cigarettes, the practice of smoking remains a persistent feature of the celebrity lifestyle, firmly embedded in the cultural zeitgeist.