While national cigarette smoking rates have declined substantially among US youth since the mid-1990s, an estimated 10 percent of middle and high school students2.8 million peoplecurrently use at least one tobacco product, and many also engage in dual use, particularly with e-cigarettes
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The Because nicotine affects the development of the brains reward system, continued e-cigarette use can not only lead to nicotine addiction, but it also can make other drugs such as cocaine and methamphetamine more pleasurable to a teens developing brain (U.S
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