effect of tobacco products alcohol and other harmful substances Dual Use Tobacco Smoke, Vaping, and Asthma

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Forms & Delivery Systems Cigarettes Cigars Chewing Tobacco Snuff / Dip E-cigarettes & Vaping Devices (e.g., JUUL, disposable vapes) Nicotine Replacement Therapies (NRTs) patches, gum, lozenges, inhalers, nasal sprays sometimes misused but primarily used for cessation Effects Short-term: Increased alertness, elevated heart rate, raised blood pressure, and reduced appetite

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The researchers did not consider respondents who indicated using marijuana during the first wave (when some were as young as 12), so they could focus on those who started using the drug as adolescents

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