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A conclusion of a recent National Academy of Science Report on e-cigarettes read e-cigarettes cannot be simply categorized as either beneficial or harmful to health. And a recent review in the British Medical Journal of the respiratory effects of e-cigarettes noted they have measurable adverse biologic effects on organ and cellular health in humans

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I felt as if I were actually drawing on a real cigarette, albeit a very light one

The association between the use of an object to hide the pack and motivation to quit may therefore be explained by the embarrassment felt