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saw a rapid rise in vaping among teenagers and young adults

For example, San Marcos, California , recently passed an ordinance requiring any shop that sells tobacco products, including e-cigarettes and related devices, to purchase a city-issued tobacco retail license. The city partnered with the San Marcos Prevention Coalition and the Vista Community Clinic, which conducted surveys of local e-cigarette retailers and vape shops and determined that a number of businesses were selling these products to minors in violation of state law

What makes it especially stubborn is the ventilation system

A quantitative nicotine test measures even the faintest amount of nicotine, even below 50 ng/mL

For instance, a study published in JAMA Psychiatry titled Association of Depression and Anxiety With the Accumulation of Chronic Conditions highlighted the increased risk of anxiety and depressive symptoms during withdrawal