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Our findings suggest that the unique way vapers and hookah smokers use their devices may expose the nose and sinuses to far more emissions than cigarettes, which may in turn increase their risk for upper respiratory diseases, says study lead author Emma Karey, PhD, a postdoctoral research fellow in the Department of Medicines Division of Environmental Medicine at NYU Langone Health

Some users experience anxiety, paranoia, or even acute episodes of depression

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When first making the switch to e-cigarettes, it's important to get the right nicotine strength for you

Data availability All data used in this study are publicly available and can be obtained from the WHO, OECD and Australian data agencies

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