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Pouches, especially if a higher dose like six milligrams and eight milligrams, can emulate a cigarette more in getting higher levels of nicotine, Ahluwalia says

For 20 percent of the middle schoolers, e-cigarettes were their first experience with smoking, raising concerns that e-cigarettes may act as a gateway to the use of other tobacco products

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"Making them the devil isn't going to solve our problem," said Braun, who supports a tiered tobacco tax based on the potential harm of the product being taxed