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Some fake products contain nicotine concentrations that are dangerously high - we're talking about levels that could cause nicotine poisoning

Adam Butterworth reports grants from Merck and Pfizer and grants outside of this work from AstraZeneca, Biogen, and Novartis, and personal fees from Novartis

Data Availability: Data are from the Public Use Files for the Population Assessment of Tobacco and Health, Waves 1-3 at Funding: YES, Research reported in this publication was supported by the National Cancer Institute of the National Institutes of Health (NIH) and FDA Center for Tobacco Products (CTP) under Award Number U54CA229974

Although theyre a little late to the game, they seem to be making up for lost ground by offering a creative range of flavors that arent available elsewhere