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Ever since modern e-cigarettes first hit the market in the mid-2000s, it's been marketed as being safer than regular cigarettes and a potential way to quit tobacco. The slim, battery-powered devices work by heating up an internal e-liquid to form vapours (hence the term 'vaping') which the user inhales

One chip in ceramic on the top of one of the Pagoda tips

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These symptoms can make it really difficult to quit smoking

Cigarette use among this group had been steadily falling for years, but that trend has reversed itself since the introduction of vaping products that contain nicotine