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Insurers routinely ask a series of tobacco-related questions that will be used to determine an applicants tobacco status as either a tobacco user or non-tobacco use" for underwriting purposes

Pryor WA, Church DF, Evans MD, Rice WY Jr, Hayes JR (1990) A comparison of the free radical chemistry of tobacco-burning cigarettes and cigarettes that only heat tobacco

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Instead, as a provider, you can make the diagnosis by establishing a temporal relationship between vaping and symptoms, rule-out other potential causes for symptoms, and determine if there is improvement with the cessation of smoking 5

Athletes, who smoke cigarettes casually, say it helps them to relax