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A research team went over data stretching back to the mid-1970s in the wake of electronic cigarettes’ popularity. Health organizations have recently spoken out about the dangers of e-cigarettes, too.

Nicotine — whether it comes from a traditional or electronic cigarette — could be a gateway drug to marijuana and cocaine, according to a study in the New England Journal of Medicine.

“While e-cigarettes do eliminate some of the health effects associated with combustible tobacco, they are pure nicotine-delivery devices,” said co-author Dr. Denise B. Kandel, a professor of sociomedical sciences at Columbia University Medical Center and a research scientist at the New York State Psychiatric Institute.

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