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In contrast, lower-SES people who smoke are more likely to engage in dual use, continuing to smoke while also using e-cigarettes, potentially due to limited access to cessation support, greater nicotine dependence, or uncertainty about the health benefits of switching [32, 40]

The nicotine contained in tobacco first stimulates and later depresses the central nervous system

The box features bold vertical linear graphics with radiating gradations rising from a dark lower band, prominently emblazoned with EVANS in strong black lettering, an outstanding example of 1930s commercial graphic design

While some enjoy the air of rebellion, some also just enjoy the different flavors offered