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See the Surgeon Generals page on e-cigarettes and young people Smoking (traditional tobacco and cigars) Smoking is still the leading preventable cause of death in the United States Estimates show smoking increases the risk: For coronary heart disease by 2 to 4 times For stroke by 2 to 4 times Of men developing lung cancer by 25 times Of women developing lung cancer by 25.7 times Risks from smoking visual representation Smokeless tobacco (chew, snus, dissolvable) Nicotine addiction Cancer (mouth, throat, cheek, gums, lips, esophagus and pancreas are more likely) Precancerous mouth lesions Heart disease Dental disease Pregnancy risks Learn more about smokeless tobacco Tobacco use among adults with mental illness and substance use disorders Adults with mental illness are 70% more likely to smoke than adults with no mental illness Patients with psychiatric disorders are far more likely to die from tobacco-related diseases than from mental illness People with mental illness or substance use disorders die about five years earlier than those without these disorders Tobacco smoke can interact with and inhibit the effectiveness of certain medication taken by mental health and substance abuse patients For more information on how tobacco affects those with mental illness and substance use disorders, visit Rethink Tobacco Indiana or the CDC Vaping / JUUL / e-cigarettes The Indiana State Department of Health has created a new website with resources for youth, parents, educators and health care professionals

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Lee and colleagues (2015) found that puff duration increased and puff flow rate decreased significantly after e-cigarettenave smokers (n = 20) used a first-generation e-cigarette for one week compared with baseline (first use of the e-cigarette)

Every puff is a celebration of smooth, flavorful clouds and lasting enjoyment