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Research on dual use is limited, but a 2022 review suggested that using both could be as harmful or possibly more harmful than just smoking alone

Another long-cut Kodiak option is mint chewing tobacco

When a button is clicked on an e-cigarette, the liquid nicotine, flavors, and chemicals present in the plastic tube heat up and an atomizer (aerosol) turns into a vapor that is puffed or inhaled and enters into the airway, which is rapidly absorbed into the systemic circulation, giving a dose of nicotine in the brain

10.1136/tobaccocontrol-2019-055321 26 SkirzewskiM.Princz-LebelO.German-CastelanL.CrooksA

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