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It has two main effects: it mimics some of nicotines effects in the brain (which can reduce withdrawal) and it blocks nicotine from fully activating receptors if you do smoke

The inhaled poisons get in your bloodstream and cause platelets to adhere to each other

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Exposure to secondhand aerosol (SHA) from e-cigarettes can expose nonusers to potentially harmful substances including nicotine, carbonyl compounds, tobacco-specific nitrosamines, heavy metals, and glycols