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To replace the tobacco content, these products commonly have higher concentrations of nicotine, a substance as addictive as heroin, cocaine or alcohol

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As such, we assume that under-reporting of smoking prevalence is not a major concern for our study and that any changes in the rate of under-reporting varies identically across all states and follows a linear trend

Immediate Effects of Vaping on Blood Pressure One study found that blood pressure increased from approximately 122/72 mm Hg to about 127/77 mm Hg immediately after vaping, an effect attributed to nicotines stimulating effects on the cardiovascular system 5