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References 1 BMC Medicine: Relationship of tobacco smoking to cause-specific mortality: contemporary estimates from Australia 2 The Sax Institutes 45 and Up Study: www.saxinstitute.org.au/solutions/45-and-up-study/

He couldnt have been older than 16

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However, three studies did not find any significant evidence of genotoxicity following nicotine e-cigarette exposure 33,40,41