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Smuggled cigarettes and vaping devices are "widely available" and "sold openly through social media," Nazim observed

Smokeless tobacco is sometimes used in the workplace by employees, especially if the employer does not provide many cigarette breaks or if the employee is consistently using both hands during work (which doesn't provide opportunities for cigarette smoking)

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Adolescent brain maturation and smoking: What we know and where were headed

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A puff from an e-cigarette creates an instant head rush with similar effects to harder drugs such as cocaine, flooding the brain with the feel-good chemical dopamine