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This is an observational study, and as such, cant establish cause

References E-cigarettes induce toxicological effects that can raise the cancer risk - Studies presented at the European Respiratory Society International Congress -

Colon and rectum Smoking can cause cancer almost anywhere in your body:1,2 Bladder Blood (acute myeloid leukemia) Cervix Colon and rectum (colorectal) Esophagus Kidney and ureter Larynx Liver Oropharynx (includes parts of the throat, tongue, soft palate, and the tonsils) Pancreas Stomach Trachea, bronchus, and lung Smoking also increases the risk of dying from cancer and other diseases in cancer patients and survivors.1 If nobody smoked, one of every three cancer deaths in the United States would not happen.1,2 Smoking and Other Health Risks Smoking harms nearly every organ of the body and affects a persons overall Smoking can make it harder for a woman to become pregnant

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Therefore, smoking is considered an expression of the tension between personal freedom and authority