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In addition, while long-term health effects of vapes need to be studied further, the double exposure to large amounts of nicotine and toxicants from both conventional cigarettes and vapes are a great concern for public health. Future Research Directions The researchers say that because they were combining several studies, each with a slightly different approach, it was not possible to categorize different types of dual use, such as people who mostly smoke but occasionally vape

7 Limitations of the hypothesis Several limitations should be acknowledged

Landmark studies have shown that lung cancer mortality was reduced by lung cancer screening using chest computed tomography in a high-risk population with a minimum of 15 to 30 pack-years of smoking history [12, 13]