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While early cigalikes contained low levels of nicotine, todays disposable vapes and refillable pod systems can deliver as much or more nicotine than a pack of cigarettes, sometimes in just one device, which increases the risk of: Nicotine dependence Teen addiction Inhalation of volatile organic compounds (VOCs) and heavy metals Some devices also heat liquid at higher temperatures, creating byproducts such as formaldehyde and acrolein, which are chemicals known to damage lung tissue

In the past, far more young boys than young girls smoked, but now that difference has virtually disappeared

If these appear, urgent treatment is needed

Interior of holder shows wear and paint loss from normal use