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However, certain medications, mental health problems and lifestyle behaviors including smoking also contribute to it

"If that doesn't happen, we'll come back next year

Of note, electronic cigarettes are unlikely to be a trigger for smoking initiation or relapse among adults in the US.11 A low prevalence of cessation among infrequent electronic cigarette users has been well-documented in a study of recent smokers in the US.12 Similarly, individuals with a positive history of cardiovascular disease who recently quit smoking or reported a recent quit attempt were more likely to use electronic cigarettes compared with current smokers and those who did not report a quit attempt.13 In the EU, 20% of current smokers, 4.7% of former smokers and only 1.2% of never-smokers reported having used an electronic cigarette

But it doesn't have to be punishingly expensive