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According to the Federal Drug Administration, They turn chemicals, including highly addictive nicotine, into an aerosol that is inhaled by the user. The agency notes that while most are manufactured to resemble conventional cigarettes, cigars or pipes, others may look like pens and USB memory sticks

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Wood smoke, although produced differently, releases a similar mix of harmful gases and particulates, including polycyclic aromatic hydrocarbons (PAHs) and dioxins, which are known to have serious health implications