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These products may produce some toxicants at lower levels than cigarettes but often at higher levels than e-cigarettes, so reduced exposure does not make them risk free

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If people keep up with the habit over time, we can still expect to see the same health problems that we have seen since the beginning of time, particularly, increased risk of cancer, heart disease and lung diseases like COPD, emphysema, chronic bronchitis and lung cancer, Greenspan said