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Some pointed out that sobriety is often a personal decision necessary to improve mental health, to control substance abuse issues or even save a life, rather than simply being another social media trend

PLoS ONE 8 , e66317 (2013)

Nicotine Arms Race: JUUL and the High-Nicotine Product Market

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To add to that, those who vape regularly may also be doing so more frequently than they would have otherwise smoked cigarettes. The CDC confirms evidence of lung damage and links to chronic lung disease associated with vaping