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In the United States, federal agencies and private organizations have pushed the narrative that the use of e-cigarettes threatens to get more people hooked on combustible products, leading to laws that have reduced the availability of non-smoke alternatives

Nationwide, New York continues to have the greatest rate of cigarette smuggling, with smuggled cigarettes accounting for 53.5 percent of total cigarette consumption in the state

In addition, nicotine itself can reduce lung function by constricting blood vessels in the lungs

While the correlation is very low, there is a minor link between thinning arteries and nicotine pouches