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(Committee on the Review of the Health Effects of Electronic Nicotine Delivery Systems) (January 2018)

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People often describe: A fast or pounding heartbeat Fluttering in the chest Irregular or skipped beats Strong awareness of the heartbeat even while resting These sensations may start within minutes when smoking or vaping, or within 30 to 90 minutes when consuming edibles

You use the strongest dose first if you smoke more than 10 cigarettes daily and reduce the dose gradually over a period of 8 to 10 weeks

Smoking increases your risk of CHD by damaging the blood vessels that supply the heart