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Archived from the original on 2017-10-25

When people adjust the voltage of a device or add substances to the liquid, they can increase their exposure to harmful chemicals like heavy metals. She noted that some of the modifications the study identified were benign and even intended like replacing a battery or heating coil with an authorized part but that 68% and 61% of youth and young adults, respectively, made modifications to the e-liquid such as making their own flavorings, adding additional nicotine or adding cannabis

This can further complicate orthodontic treatment and potentially cause dental health problems such as cavities or periodontal disease

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A 2013 study by the Centers for Disease Control determined that 14.7 percent of high school boys had used smokeless tobacco in the previous 30 days