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"Many flavored little cigars appear virtually indistinguishable from cigarettes with similar sizes, shapes, filters and packaging." In 2009, the U.S

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Every product contains only high-quality virgin tobacco, completely free from flavourings, humectants or preservatives

Increased cardiac sympathetic activity and oxidative stress in habitual electronic cigarette users: implications for cardiovascular risk

There are a variety of reasons why people are using these small sacks full of nicotine and other ingredients, including as a substitute for cigarette smoking