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Cig-a-like are commonly found where cigarettes are sold and are used as an introductory vaping device for smokers

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Following the same search strategy and inclusion criteria as a previous meta-analysis 1,2 , we updated the literature search in 14 databases from the last search date, 1 January to 20 October 2025, and identified an additional 405 studies for eligibility screening

Other health risks may be uncovered over time, as was the case with cigarettes

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But lets turn to e-cigarettes and youth e-cigarettes and the epidemic that weve seen