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Nicotine, whether from cigarettes or vaping, is an addictive substance that can have adverse health effects, particularly on cardiovascular health

Sometimes Im even throwing up [It happens] when we string the leaves because were sitting in the middle of a bundle of tobacco. It happens when the tobacco is still wet and just coming from the fields. Every time its the beginning of the season, were throwing up. Rio, a tall 13-year-old boy, worked on tobacco farms in his village in Magelang, Central Java, in 2014

Vaping and Detection: Whether smoked or vaped, the THC is absorbed and stored in the body's fat cells, and its metabolites are detectable across all testing types

But critics of big tobacco companies say they are responsible, too

State Tobacco products, including loose tobacco leaves and any products made from tobacco leaves, in whole or in part, and cigarette wrappers, nicotine products (e.g., e-cigarettes or any product that employs an electronic, chemical or mechanical means to produce vapor from a nicotine product*), and nicotine dispensing devices** (e.g., any product that contains nicotine, including liquid nicotine, that is intended for human consumption, whether inhaled, chewed, absorbed, dissolved, or ingested by any means)

The brand sources from established tobacco-growing regions in Virginia, North Carolina, and select international locations that meet quality standards