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Daily smoking has dropped from 9.7% in 2020 to 6.6% in 2026 during the period that daily vaping has grown (Figure 11)

26,44 The mechanism for these improved health outcomes may be associated with the substantial decline in CO exposure (as well as in carboxyhemoglobin levels) following smoking abstinence 45 and to the linked time-dependent progression in exercise tolerance with abstaining from smoking

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