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Response to Shihadeh: E-cigarettes generate high levels of aldehydes only in dry puff conditions

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Step 4: Toast the tip before you puff This is the most overlooked trick: Hold flame near the tip and rotate the joint slowly Let the paper catch evenly around the edge Then take the first pull If youre learning how to smoke a joint without runsthis one step changes everything

The authors warn that the images further normalize tobacco use and may counteract the countrys progress in changing attitudes about tobacco and decreasing smoking rates