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Other symptoms may include: Persistent sore throat Difficulty swallowing or pain when you swallow Red or white patches in the mouth or throat A lump in your neck, throat or the back of your mouth Frequent or severe headaches Neck or ear pain Ongoing cough or coughing up blood Shortness of breath or wheezing Unexplained weight loss Experts say that if you experience any of the symptoms above for longer than two weeks, its time to get checked by a doctor

Potential harmful health effects of inhaling nicotine-free shisha-pen vapor: a chemical risk assessment of the main components propylene glycol and glycerol

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As detailed above, exposure to tobacco smoke prompts chronic inflammation in the lungs, significantly altering immune cell function

"Compared to smoking one tobacco cigarette," the researchers wrote, "the [e-cigarette] devices and liquid used in this study delivered one-third to one-fourth the amount of nicotine after five minutes of use." Other more recent studies, like this one from 2015, suggest that at least some e-cigarette users may get nicotine doses similar to those from tobacco cigarettes

Once the pouch is in place, nicotine is absorbed through the lining of the mouth and enters the bloodstream, creating a mild stimulant effect