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E-cigarette use behaviors also vary and users may deliberately or inadvertently inhale more nicotine than would typically occur, Gottlieb and Abernethy said, adding that e-liquids have varying levels of nicotine concentrations, and some e-cigarette design features may allow a user to obtain high levels of nicotine quickly. A study in February looked at the rise of nicotine concentrations in vaping products over recent years, suggesting that leading e-cigarette company Juul Labs spurred a widespread rush of companies seeking to boost their own concentrations in order to mirror Juuls success

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The researchers suggest that tobacco duty can be changed relatively quickly and therefore offers the most immediate way to reduce the incentives behind such products until tobacco control legislation can be revised

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