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Artwork by Vinnie Divito

When people adjust the voltage of a device or add substances to the liquid, they can increase their exposure to harmful chemicals like heavy metals. She noted that some of the modifications the study identified were benign and even intended like replacing a battery or heating coil with an authorized part but that 68% and 61% of youth and young adults, respectively, made modifications to the e-liquid such as making their own flavorings, adding additional nicotine or adding cannabis

It isnt clear why smokeless tobacco might contribute to cardiovascular problems, and the study isnt the final word on the issue, said co-author Jane Henley, an epidemiologist with the American Cancer Society

Shisha tobacco is a common nickname for Muassel, a sweet and syrupy form of tobacco, which is smoked using a hookah