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"This study shows how little we know about toxic exposures that can result from using any one of the many different available types of e-cigarettes at different heating levels," said Eric Jacobs, the cancer society's strategic director of pharmacoepidemiology

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Nicotine replacement gums, patches, lozenges, inhalation or nasal sprays all aim at relieving the physical symptoms by steadily releasing small amounts of nicotine over a period of time

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Other states that increased the age requirement for tobacco purchases include: Arkansas Hawaii Maine Illinois California New Jersey Washington Delaware Oregon Utah Maryland Vermont Massachusetts Virginia At least 470 cities and towns within the United States similarly enacted local laws prohibiting the sale of tobacco products to anyone under 21