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The higher legal age for smoking would delay the initiation rate in two ways

Lung cancer is the leading cause of cancer death among both men and women in the United States, and 90 percent of lung cancer deaths among men and approximately 80 percent of lung cancer deaths among women are due to smoking, according to the National Cancer Institute

Whats more, studies have shown that nicotine can have angiogenic effects on the body when ingested, meaning that it can grow new blood vessels, which is the direct opposite of what tobacco does

Scientists are studying the effects, but with e-cigarettes being a relatively new product, there is not enough data to prove the long-term effects