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One of the most common uses is as a stand-in for regular cigarettes

E-cigs, also called "vape pens" and "e-hookahs," contain a liquid solution, commonly called "e-juice," which when heated emits "a toxic aerosol, not a harmless water vapor," Chapman said

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The smoke or vapor that is inhaled from cigarettes or vaping passes the delicate lining of the vocal cords