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A special light or heat source is typically used to activate the gel, boosting its effectiveness

doi:10.1016/j.tcm.2016.03.001

Health problems related to using these products can include changes in the skin inside the mouth (smokeless tobacco keratosis), white patches in the mouth (leukoplakia), red patches in the mouth (erythroplakia), a slow-growing type of cancer that looks like a wart (verrucous carcinoma), and a common type of mouth cancer (squamous cell carcinoma)

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E-cigarette users preferred to get information on e-cigarettes from people with a smoking history (51.3%) and mostly viewed samples of genuine smokers (64.5%) (Table 3)