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The aroma from the cigarette is the same, but even weaker

Dr Boidin, senior lecturer in cardiac rehabilitation, believes the damage is due to inflammation caused by nicotine, as well as the metals and chemicals found in vapes, which include propylene glycol, vegetable glycerine

The Midwest dominates city-level rankings Ohio, Michigan, and Indiana cities top the list across all population sizes, even though Southeastern states lead at the state level

Current guidance from the American College of Obstetricians and Gynecologists, ENSP, NICE, IPCRG and NCSCT, based on available evidence, is that pregnant women who have not been able to quit smoking can use NRTs to support cessation, provided they have been informed of the risks and benefits 11-13,45,46