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For many smokers, menthol is a pleasant way to mask or accent tobacco flavor

Sometimes grouped with e-cigarettes are heat-not-burn products that heat ground tobacco without combustion

"Extensive research and testing are necessary before we can uphold any claims that these products are healthier than traditional tobacco products," says Main Line Health Pulmonologist Joshua E

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When they were surveyed about one year later, respiratory symptoms were reported by 10.7% of those who did not use e-cigarettes or tobacco cigarettes, 11.8% of exclusive e-cigarette users, 17.1% of exclusive tobacco smokers, and 19.7% of dual users (those who both vaped e-cigarettes and smoked tobacco cigarettes)