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Additionally, the use of both e-cigarettes and traditional cigarettes at the same time, or dual use, is strongly associated with other unhealthy substance use, binge drinking, poor academics, and marijuana use (Evans-Polce et al., 2020)

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E-cigarettes are battery-powered devices that allow users to inhale or vape into their lungs aerosolized liquid that contains nicotine, and many vaping devices also can be used to vaporize marijuana

Some people may also use another tobacco product during the journey