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Excessive nicotine consumption can lead to side effects like nausea, increased heart rate, and symptoms of nicotine poisoning, including sweating, pale skin, muscle twitching, and vomiting

It isnt a complete surprise that some young people are going back to the product they were trying to quit in the first place, said Pamela Ling, a professor of medicine at the University of California-San Francisco who studies tobacco and its marketing

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Acknowledgments Ryan David Kennedy completed this work through support from the Propel Centre for Population Health Impact at the University of Waterloo

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