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Most tobacco flavored e-liquid on the market works the other way around: a flavor house builds a synthetic compound designed to taste like tobacco, then blends it into a base of VG, PG, and nicotine

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It affects cardiovascular health and "can cause things like stroke," Bloomberg says, "and all of those things can impact cognitive function because they're damaging the brain structures that give rise to cognitive function." She notes there's some evidence that it could contribute to dementia risk as well