The downside is that they use a lot more e-liquid due to the higher wattage used
Cigarettes About 5.8 Trillion cigarettes were smoked worldwide in 2014, a staggering number only overshadowed by the fact that 2015 was even worse we still dont have an exact number but if trends are to be believed cigarette consumption is on a global rise
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Its not that bad

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And yes, I know exactly what that sounds like