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The nicotine is absorbed through the gums and saliva

Appendix D.1

However, credible studies have already delivered concerning results indicating that dual use might be even more harmful than conventional smoking. The review brings together 16 individual studies looking at whether groups of dual users went on to quit smoking, switch to vaping only, switch to smoking only, or continue dual use over time

It can also be more cost-effective compared to buying pre-packaged cigarettes

Recent examples include tobacco companies releasing a proliferation of flavored disposable e-cigarettes as well as oral nicotine products claiming to contain synthetic nicotine to circumvent FDA regulations on nicotine derived from tobacco

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