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Similarly, we investigated combustible tobacco cigarette smoking trends among American adults and, due to NHANES data constraints, were unable to include e-cigarette use in our analyses, even though 4.5% of adults aged 18 and over were current e-cigarette users in 2021, and e-cigarette use is associated with quitting combustible cigarette smoking 63,64

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For this sentence, you will sign 'cigarette' first as the topic, followed by the sign for 'bad.' You can then point to your body or sign 'health' to convey the negative physical impact