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So, cigarettes dont have the capacity to provide a high sensation that one may get from taking psychoactive substances

[3] Symptoms are often described as "flu-like" and commonly include headache, dizziness, weakness, vomiting, chest pain, and confusion

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France saw record drops in smoking rates from 2014 to 2019 but that success hit a plateau during the height of the COVID-19 pandemic blamed in part for causing stresses that drove people to light up

Data availability Data are available from the authors on request

In recent comments to an industry group, Mitch Zeller, the new head of the Food and Drug Administration's tobacco control efforts, noted that changes in the marketplace have forced the public health community to wrestle with the idea that some tobacco products, such as electronic cigarettes, may pose less of a health risk than others