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Retrieved August 15, 2023

Among middle and high school students overall , the most commonly used tobacco product combination among multiple tobacco product users was e-cigarettes and cigars (17.2%), followed by e-cigarettes and cigarettes (13.3%), and e-cigarettes and smokeless tobacco (9.8%)

Smoking can aggravate or initiate: Chilblains Frostbite Primary or secondary vasospastic disease (Raynaud phenomenon) Ulceration, in patients with systemic sclerosis Thromboangiitis obliterans (Buerger disease), in which blood clots occur in small blood vessels Cholesterol emboli associated with atherosclerosis Thrombosis caused by thrombophilia, antiphospholipid syndrome or drugs including oral contraceptives

To reinforce commitment, avoid triggering situations, and take note of milestones such as being smoke-free after a month, and keep using the quitting support tools or apps