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The vapour that is produced when you draw or inhale through the cartridge can be seen when you exhale, which looks just like regular smoke

In a 2023 summary of evidence, experts at the WHO warned that the lower cost of heated tobacco sticks compared to a pack of cigarettes "undermines the progress made in reducing use that was accomplished by making products more expensive"

The risk does not go away if you stop using tobacco

Since smoking during and after pregnancy has demonstrated effects on disease progression in infants, mothers have to be counseled appropriately in order to prevent respiratory pathology in their off springs

In the Pacific people cohort, 62 (17.4%) controls and 29 (11.3%) people with gout reported current smoking