Besides nicotine, e-cigarettes can contain harmful and potentially harmful ingredients, including: ultrafine particles that can be inhaled deep into the lungs flavorants such as diacetyl, a chemical linked to serious lung disease volatile organic compounds heavy metals, such as nickel, tin, and lead Prolonged use of tobacco products contributes to serious health issues such as, cancer and heart disease
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Dokha is almost exclusively smoked out of an elongated pipe called a Medwakh and the higher concentration of nicotine produces more of a buzz than traditional tobacco and users report brief periods of relaxation and euphoria.