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Acknowledgements and sources This article was written in partnership with the American Lung Association and Health Promotion

5% used ENDS every day or some days

Smokers were more than twice as likely to develop this form compared to non-smokers

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Exposure to nicotine among youth is particularly dangerous since it affects key brain receptors, making young people more susceptible to nicotine addiction.[For more information on nicotine, see Nicotine and the Young Brain.] When evaluating the risks of e-cigarette use, it is important to note that exposure to harmful chemicals inhaled by e-cigarette users can vary greatly depending on e-cigarette device characteristics (voltage, flavor, nicotine) and how the device is used

They are approximately the same size as fruit flies (1/8 inch, 2 to 4 mm) but have a hump-backed appearance