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I agree that fears about switching from cigarettes to e-cigarettes are overblown, and I roll my eyes in disbelief every time I hear a patient who has smoked for decades say that they fear the chemicals in e-cigarettes and vape products or that they made me sick. And on this point, as with smokeless and snus, e-cigarettes and newer heated tobacco products are more widely taken up by young people than by older individuals trying to stop smoking