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However, quitting cigarette smoking by switching to e-cigarettes reduced SGA to a similar rate as non-smokers

Another study showed that vapers were nearly two-times more likely to suffer from heart attack than non-vapers, which is only slightly below what smokers experience

Origin and spread On April 12th, 2015, X user @rustcohle95 shared the image with the caption, "Trying to resist watching the leaked Game of Thrones episodes like," and from there the meme gained traction, primarily on on Reddit

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Implementation As part of good clinical care, providers are expected to be knowledgeable about their patients smoking status and should therefore ask patients if they smoke, and advise them to quit if they do