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Over time, reliance on nicotine to manage stress can lead to increased anxiety and dependency, creating a harmful cycle that exacerbates the very issues its meant to alleviate

Hoang AQ, Nguyen LTH, Nguyen HD (2024) Improper disposal of cigarette butts in a southeast Asian megacity (Hanoi, Vietnam): pollution indexes, distribution profiles, and preliminary physicochemical characterization

They acknowledge vaping is likely less harmful but emphasize that "less harmful" doesn't mean "harmless," and they warn against using vapes as a gateway product for non-smokers

Otherwise, there is a danger that you will reach for the cigarette again out of boredom

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In addition, long term smoking can lead to gum disease and ulcers plus infections that can lead to tooth loss