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I think this is the opportunity also to educate around tobacco use and how that can impact on mental health outcomes, but also looking at strategies that young people may find helpful to reduce their smoking and tobacco use, including other substance use, is also particularly important, but then also managing the mental health symptoms is also important

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The most prominent rate of growth was recorded in 2017 with an increase of 105% against the previous year

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The association is primarily attributed to negative effects on insulin sensitivity [3]