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They read that a cigarette has about 12 mg of nicotine, look at their 20 mg/ml e-liquid, and conclude they have swapped to something far stronger

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With 18 ml of e-liquid delivering an impressive 10,000 puffs, this is one of those reusable devices designed with heavy vapers in mind

However, Strongin remains concerned about the public health implications of their findings, saying, In 2016, more than 9 million Americans were current e-cigarette users, including more than 2 million United States middle and high school students. It is thus concerning if even a minority of users cannot properly control e-cigarette-derived intake of formaldehyde and related toxins. Robert Strongin