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Furthermore, these vapours could elicit persistent behavioural changes later in adulthood.88 A recent study focused on the new device subtype of the heat-not-burn tobacco cigarettes (IQOS in particular), also casting shadows on the potential toxic effect of these products

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Accordingly, this factor may represent a type of craving, less intense and more focused on positive reinforcement (as reflected by items 3 and 8), likely to be experienced by smokers with low dependence levels and who initiated smoking more recently

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However, another study found that long-term exposure to e-cigarette vapor can disrupt lung lipid balance and impair immune function, and this process is not caused by nicotine, but is related to e-cigarette solvents such as propylene glycol and vegetable glycerin

because they realized that smoking is actively harming them and they cannot live with it anymore