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| Sandwell and West Birmingham NHS Trust

Nicotine products should not be used by non-nicotine users and should also not be used during pregnancy or while breast-feeding

In addition, avoiding direct comparison between the harms of traditional cigarettes and ENDS is recommended due to existing uncertainties, in particular those related to the high prevalence of dual or multiple product use, the variability of types/generations of ENDS and in their levels of nicotine content, and to a lack of rigourous and standardised comparative studies

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Sign Up About the Authors Jacob Macumber-Rosin Jacob Macumber-Rosin is an Excise Tax Policy Analyst with the Tax Foundation

E-cigarette aerosol can contain harmful and potentially harmful substances, including nicotine, heavy metals like lead, volatile organic compounds, and cancer-causing agents