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Myth 3: Pipe Smoking Wont Affect the Heart Nicotine and other smoke constituents enter the bloodstream through oral mucous membranes even without lung inhalation

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In a multicenter, prospective, observational study on EVALI patients seen in an integrated health system in Utah, USA (June 27 and Oct 4, 2019), 6 (10%) of 60 patients were readmitted to the ICU or hospital within 2 weeks, of which three (50%) had relapsed with e-cigarette use [54]

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Side effects are typically mild (tingling, hiccups)

For some people who smoke tobacco, using e-cigarettes may make quitting less likely, such as through dual use instead of quitting altogether