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Initially touted as being a safer alternative to regular cigarettes, we now see that they increase heart rate, blood pressure, and ultimately increase plaque rupture which causes these dangerous cardiovascular events. Stunted brain development: Among many of the avoidable risks that vaping poses, the National Institute of Health shared that the use of vape pens and e-cigs can cause long-term harm to brain development. This is more specific to youth users but can affect learning and memory, self-control, concentration, attention, and mood

"What they're suggesting is that when you smoke you have an increase in goblet cells [in the lower respiratory tract], and that's definitely true," Christenson said

The health consequences of smoking 50 years of progress: a report of the surgeon general

Some counties, like Cuyahoga County, impose additional excise taxes on cigarettes