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Other Issues Nicotine addiction is a significant concern, as it is highly addictive, and many vapes contain higher nicotine levels than cigarettes (Schmerling 2021)

This underscores the need to have a reliable and valid measure of perceived dependence for every product but also to assess the degree of self-reported dependence irrespective of the type and number of TNPs used

If symptoms are severe, continue for a long time, or include chest pain or breathing difficulties, seek medical advice immediately