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This is because: When vaping, people usually take significantly more puffs per day than when smoking

Cannabis is not an FDA-approved smoking cessation treatment, and results can vary depending on the person

Coronary heart disease (CHD) is one of the most common and serious forms of cardiovascular disease and refers to diseases of the heart muscle and supporting blood vessels

Third, causal inference remained robust through propensity score matching (OR = 1.95, P = 0.008) and sensitivity analyses excluding smokers or using alternative CKD definitions, mitigating concerns about residual confounding