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In January 2018, the National Academy of Sciences released the Public Health Consequences of E-Cigarettes report

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Dr James MacCabe, clinical senior lecturer in Psychosis Studies at the IoPPN, King's College London, said: "While it is always hard to determine the direction of causality, our findings indicate that smoking should be taken seriously as a possible risk factor for developing psychosis, and not dismissed simply as a consequence of the illness." The brain's dopamine system could possibly explain the causal link between smoking and psychosis