this risk is more of concern for users who are inexperienced or do not use protective gear.[126] Users can adjust the voltage of some e-cigarettes.[126] The amount of vapor produced is controlled by the power of the battery, which has led some users to adjust their e-cigarettes to increase battery power to obtain a stronger nicotine "hit", but there is a small risk of battery explosion.[24] Some users add more or larger batteries to nonadjustable e-cigarettes, which may lead to battery leakage or explosion.[126] The FDA stated to only use batteries recommended for use with the device.[18] The FDA recommended to replace the batteries if they get damaged or wet.[18] The extent to which teens are altering e-cigarettes, such as dripping the liquids onto the atomizer to get more nicotine intake, is not known.[17] Case reports related to health effects Nicotine Pregnant women, breastfeeding mothers, and the elderly are more sensitive to nicotine than other individuals.[19] There are safety issues with the nicotine exposure from e-cigarette use, which may cause addiction and other adverse effects.[20] Nicotine is regarded as a potentially lethal poison.[13] Concerns exist that vaping can be harmful by exposing users to toxic levels of nicotine.[13] At low amounts, it has a mild analgesic effect.[19] At sufficiently high doses, nicotine may result in nausea, vomiting, diarrhea, salivation, bradyarrhythmia, and possibly seizures and hypoventilation.[131] High doses can induce deleterious effects on the growth of osteoblasts.[132] Higher-doses leads to loss of nicotinic receptor specificity and induces cholinergic toxicity.[85] The highest-doses can lead to coma.[85] However, at the low amount of nicotine provided by e-cigarettes fatal overdose from use is unlikely
19 This means that health benefits should include coverage for individual, group, and telephone counseling, as well as all seven US Food and Drug Administration-approved cessation medications
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How does smoking enhance the risk of oral cancer
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