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Someone may have begun smoking in their teens, then quit for several years in their 30s, so if what were trying to get from pack-years is a measure of exposure, we have to calculate that in

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Scientists have more than 60 years of research on how to get people to quit smoking and prevent teens from starting to smoke

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In fact, studies show that the vast majority of people addicted to vaping became addicted in their teenage years.[9] The chemicals in vapes can actually alter brain development in ways that create powerful dependencies

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