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In addition, severe lung injuries and deaths have been linked to the use of electronic cigarettes with Vitamin E acetate, often used in vape products containing tetrahydrocannabinol (THC)

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As the market for alternative nicotine products grows, it is likely that products will continue to be bought up by tobacco companies (for example, PMI is currently in the process of buying Swedish Match, maker of Zyn nicotine pouches)