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Acknowledgements This study was supported by grants from the Concerted Research Initiative Ghent University (BOF/GOA 12050698 and BOF/GOA 12.515.04), Interuniversity Attraction Poles Program (Belgian State, Belgian Science Policy, Project P6/35), and FWO Flanders (Project 3G.0052.06)

In contrast, our study employed a larger sample size, utilized serum cotinine levels as the independent variable, examined a more comprehensive range of tobacco products, and implemented rigorous control measures for confounding variables

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[65] [66] [67] The risk from serious adverse events was reported in 2016 to be low

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