E cigarettes usually use liquids with artificial flavoring, nicotine and whatnot in it…and they basically heat up said liquid with a coil to make the smoke.This takes energy…hence why e cigarettes are also often called vapes.
As to healthier than normal cigarettes: that is a big question mark.. we are getting more and more studies that it may be unhealthier than normal smoking even, as it may be worse on the lungs.
It is ultimately too early to tell how healthy those are. Although more recent studies kinda made e cigarettes largely die in places like Germany… you just don’t get them at every place anymore.
It may be an issue on a select few ingredients.. a select few flavours.. or just generally unhealthy.
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