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It should also be noted that the National Academies of Sciences, Engineering, and Medicine in 2018 released a report summarising available evidence regarding the public health consequences of electronic cigarette use.99 That report concluded that there is no available evidence as to whether or not electronic cigarette use is associated with clinical cardiovascular disease outcomes and subclinical atherosclerosis

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Since e-cigarette brands like Juul have only gained popularity over the course of the last decade, researchers have yet to determine their long-term health impacts