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Winickoff, adolescents using e-cigarettes are getting higher levels of nicotine than they were getting with being regular teen tobacco usersthey can conceal these devices, they can use them more frequently, and they can inhale more rapidly. This means they are more easily putting harmful additives that may not always be included on the label into their bodies

Among the many ill effects are breathlessness, diminished lung capacity and permanent injury to the alveoli, which are the hundreds of millions of minute air sacs in the lungs

Environ Pollut 266:115286 Hamzah Y, Umar L (2017) Preparation of creating active carbon from cigarette filter waste using microwave-induced KOH activation, Journal of Physics: Conference Series

A response to this letter pointed out that each puff from an electronic cigarette delivers approximately 10% of the nicotine found in a puff of cigarette smoke [76]

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