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Higher levels of nicotine, ammonia, and sugars have increased the addictiveness of cigarettes over time

Cognitive outcomes Baseline Compared to non-users, incense users had significantly poorer performance in measures of global cognition (MoCA Total score), executive functions (Symbol Digit Modalities Test [SDMT] and Verbal Fluency), visuospatial functions (MoCA Visuospatial Domain score) and memory (MoCA Memory Domain Score and Rey Complex Figure Test [RCFT] 30-minute delayed recall) after adjustment for age, education year, vascular risk factors and levels of outdoor pollutants

PMID 27060875

TLDR: ZYN is tobacco-free, ALP is not: ZYN uses synthetic nicotine with no tobacco leaf

Electronic Cigarettes E-cigarettes, also known as electronic smoking devices (ESD) and vaporizer cigarettes, are battery-operated devices that emit doses of nicotine and non-nicotine vaporized solutions that are inhaled