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Participants had lower dependence to EC use compared to smoking according to their responses to the Fagerstrm Test for Cigarette Dependence (FTCD) 12 and the Cigarette Dependence Scale (CDS) 13

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This is partly due to the reduced blood flow and partly because smoking triggers melanin production, leading to dark spots and uneven skin tone

HB 473, authored by Representative Buddy Mincey, cites a survey conducted by the Substance Abuse and Mental Health Service Administration that says nearly 95 percent of adult smokers began smoking before they were 21 years old