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When using e-cigarettes, the tiny nicotine particles contained in the vapor in a fast and effective way into the bloodstream, resulting in a plasma nicotine concentration, which may ultimately increase the risk of hypertension [71]

Splitting smokers/vapers into these categories is vital to understand and further research into the health impacts of smoking versus vaping

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Around 10 per cent of adults in Great Britain an estimated 5.5 million people use vapes, according to health charity Action on Smoking and Health, with levels broadly unchanged since 2024, suggesting growth has begun to plateau