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All products that contain nicotine are technically capable of causing nicotine poisoning, although in general nicotine poisoning is not common in adults and experiencing nicotine poisoning from smoking alone is rare

However, Rahman and colleagues interpretation of this finding was stated more positively than that of the Hartmann-Boyce and colleagues (2016) review

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A recent study estimated Medicaid savings to be approximately $2.8 billion per 1 percent of enrollees in Medicaid who switch from using tobacco to e-cigarettes over the next 25 years