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"I work with many patients who are addicted to nicotine, and the vast majority have never smoked a cigarette." Puls said this pattern is especially common among adolescents and young adults and is concerning because cigarettes typically deliver about 1 to 2 milligrams of nicotine, while some vape products can contain 20 to 60 milligrams

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Only a few years ago, Newsome says she would have been considered a hashtag activist

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