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Giving up smoking isn't easy

On the other, it also has stimulant-like effects, inducing things like agitation and paranoia in the user

We further note that nicotine when consumed via smoking or vaping, is delivered with a myriad of other pharmacologically active constituents that could impact use and co-use liability of nicotine (Harris et al., 2019

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Estimating these substitution patterns also is critical to assessing the health consequences of cigarette tax changes (or any tobacco regulation), because the health effects of these products vary