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Additionally, adolescents endorsing positive outcome expectancies are more likely to initiate use compared to those who endorse negative outcome expectancies [44, 61]

A recent study conducted by the National Academies of Sciences, Engineering, and Medicine found that people who use e-cigarettes may be inhaling dangerous levels of heavy metals like lead and nickel, which is a concern that conventional cigarette smokers also face

One crucial step is to avoid smoking since tobacco use can contribute to reduced circulation, hormonal imbalances, and follicular damage

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