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Mutual Reinforcement : Both substances influence dopamine release, potentially reinforcing each others effects and increasing the likelihood of co-use

Household budget impact: For average UK households, cigarette expenditure represents 8-12% of disposable income for smoking families, significantly higher than many essential household expenses

MMWR Morb Mortal Wkly Rep 69(37):13101312 Flouris AD, Chorti MS, Poulianiti KP, Jamurtas AZ, Kostikas K, Tzatzarakis MN et al (2013) Acute impact of active and passive electronic cigarette smoking on serum cotinine and lung function

As part of a suite of strategies to reduce uptake of vaping among minors and non-smokers, the World Health Organization recommends banning all forms of e-cigarette advertising, promotion, and sponsorship 8

However, smokers cough can be persistent and severe in people who smoke heavily

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