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Recent data from the National Youth Tobacco Survey show that, among students who currently use e-cigarettes, most cited feelings of anxiety, stress, or depression and the high or buzz associated with nicotine as reasons for use

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While companies have long exaggerated how big the illicit market is, a 2023 study in South African Crime Quarterly found it mostly involves legitimate local manufacturers that dodge taxes while still producing branded cigarettes

Periodontal disease, tooth loss, and gum recession are common among tobacco users