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However, e-cigarettes containing 20 mg/mL of nicotine are more equivalent to normal cigarettes, based on the delivery of approximately 1 mg of nicotine every 5 min [40]

Possible long-term ramifications Long-term effects include the development of unhealthy coping mechanisms to stress rather than healthy ones (this could track into adulthood, causing other unhealthy habit cycles), developing addictions like smoking combustible cigarettes and other substances, and lung damage, along with other unknown consequences (4)

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The authors also note that the findings need to be replicated in other studies for further confirmation, and these should include higher levels of caffeine consumption from other sources

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