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Additionally, missing outcome data and an imprecise assessment of prognostic factors and outcomes were judged to have produced a risk of bias

Around 4 months ago I started to get chest pains and generally feeling unwell

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That can be a long time to live with mouth pain

While the PATH study is providing essential longitudinal data on the use of traditional and e-cigarettes, as well as on outcomes such as cardiovascular events, the data are self-reported, the study duration is short and the event rate is still low especially in younger people