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The Truth Initiative seems to be aware that mental illness often leads to nicotine use as patients seek symptom relief, pointing out that its surveys reveal that many young people cite feelings of stress, anxiety, or depression as reasons they start and continue vaping. TI tried to argue around this by pointing to nicotine-withdrawal symptoms, which can mirror the effects of depression

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With over 15,000 unique flavors available, many of which are high in nicotine and inexpensive, these products are particularly attractive to youth and young adults

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I imagine her back story is just as tragic