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Along with the extremely addictive nature of nicotine and its intersection with mental health, youth use of nicotine can impair brain development, increase heart rate and blood pressure, and is associated with reproductive health impacts [9, 10, 11] While the health impacts of long-term nicotine exposure (without being paired with combustible tobacco) continues to be studied, it is important to note that acute symptoms of nicotine sickness can occur when consuming high nicotine levels, which include intense vomiting, nausea, headache, shallow breathing, increased heart rate and blood pressure, and dizziness and tremors

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In the United States, many states have imposed taxes on e-cigarettes as part of their tobacco product regulations, and the FDA has increased enforcement efforts against e-cigarette manufacturers and retailers for selling unauthorised products

One product type, which has been on the U.S

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