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Nicotine from aerosols or e-cigarette liquids remains on surfaces for weeks or months and reacts with the environment to form nitrates and tobacco-specific nitrosamine compounds, leading to inhalation, ingestion, or dermal contact with carcinogens [80,81]

These include: Blood in your stools (can also look black or tarry) Blood in your vomit (can also look like coffee grounds) Difficulty swallowing Fever Loss of appetite New chest pain Painful swallowing Persistent vomiting Severe or worsening abdominal pain Unexplained weight loss Ultimately, its worth talking to a healthcare provider if any of your symptoms rapidly worsen, wake you up from sleep, or significantly reduce your quality of life

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