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[3] Annual health care costs in the state directly caused by tobacco use are $3.03 billion ($644 million of which is Medicaid expenditures)

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One review of all studies assessing the toxicity of e-cigarettes on the lungs found that vaping impacts several regions of the respiratory system, leading to decreased air flow, increased levels of toxicity and increased oxidative stress, 12 considered a precursor of the inflammation that can lead to many chronic diseases

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Real-Time Measurement of Electronic Cigarette Aerosol Size Distribution and Metals Content Analysis