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While there is some evidence generally showing small effects that using another nicotine product first can lead to cigarette smoking, prior use of another nicotine product does not appear to be a major driver of becoming a regular smoker

"With all the restrictions in place now on smoking in public areas, it's just difficult to smoke as much as before," Healton said

The detrimental effects of smoking on the lungs are well known, but many people are unaware of the harm it causes to the ear, nose, and throat (ENT)

The authors add: Basically what we found is: tell me what you smoke, and Ill tell you who you are. Provided by PLOS