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Spielberg said consumers often forget the myriad of other substances found in vapes, such as heavy metals and harmful additives, which can present health issues beyond those associated with nicotine, alone. Spielberg said for years people underestimated vapes because they were originally marketed as healthier alternatives to traditional forms such as cigarettes

We present crude (unadjusted) prevalences so trends reported do not take into account differences due to changes in the demographics (e.g

American Psychologist

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"Thanks to information provided by the public, this investigation is crossing state and international borders as our agents follow leads in Houston, Texas