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This can trigger lightheadedness similar to what smokers and vapers experience, although the buzz may last longer with oral products

If you puff too hard or too often, it can heat up fast, and bite you hard

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doi: 10.1093/jat/bkt021 [DOI] [PMC free article] [PubMed] [Google Scholar] 19.Goel R, Bitzer Z, Reilly SM, et al

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There were also varied methods in data collection both prospective and retrospectively acquired and application of different symptom-based disease indices (e.g., Harvey Bradshaw Index vs