In fact, the authors did follow-up analyses testing persistent quitters (i.e., remained abstinent from all nicotine at both follow-ups) with EC switchers, and found no significant difference and a similar effect size (AHR = 0.64 and 0.73, respectively), meaning switching to ECs and persistent nicotine abstinence are associated with similar risk reduction for liver cancer
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Mixing marijuana and alcohol can alter your bodys physiology, pushing it to abnormal states and potentially exacerbating your metabolic demand due to increased heart rate and blood pressure, which can pose serious health risks - including death - particularly for people with pre-existing cardiovascular disease
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