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The CDC reports that around two-thirds of Juul users aged 1524 arent aware that Juul always contains nicotine. As of 2015, 99% of all e-cigarettes in the US contained nicotine. A 2013 study even found that products marketed and labeled 0% nicotine or nicotine-free did contain nicotine. The same study also found that almost 20% of the products analyzed had significant discrepancies in nicotine concentration compared to the amount stated on the label

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Furthermore, lower COPD prevalence with exclusive cigar use may be explained by the reduced smoke inhalation and lower frequency of smoking in exclusive users of traditional cigars [39], the predominant cigar type used by the study population [40]

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