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By comparison, experienced e-cigarette users took larger volumes per puff and longer puffs, but flow rate with e-cigarettes was lower

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Common contributors include: High caffeine intake Lack of sleep Chronic stress Obesity Excess sodium Alcohol consumption Smoking cigarettes alongside vaping (dual use) Dual use may expose individuals to both cigarette smoke and nicotine from vaping, potentially increasing overall cardiovascular risk

When excise taxes are levied as a vehicle for internalizing externalities or as a proxy for use of resources, it makes sense to levy the tax by quantity