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Step cigarettes are not made with any hemp or cannabis flower or hemp extracts

The National Academies of Sciences, Engineering, and Medicine reported strong evidence that youth who use e-cigarettes are more likely to begin smoking combustible cigarettes, and more recent studies have shown this pattern holds true even among teens considered low-risk for tobacco use

Vaping works by heating e-liquid into vapour that is inhaled instead of smoke

Smoking cessation interventions should highlight these differences and address co-use to effectively help people cope with triggers to smoke. The authors noted some limitations in the study, including their focus on the enhancement of perceived pleasure of smoking cigarettes by alcohol or marijuana rather than the ability of cigarettes to enhance the pleasurable effects of other substances. The other UCSF co-authors are Oona A