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P1 elaborated on language-related academic difficulties: P2 similarly described academic challenges despite reporting lower overall adaptation difficulty: Because Im a foreign student, the teacher speaks quite fast in class, I might not understand some things, and sometimes their handwriting is messy. (P2) All three participants reported language barriers among their stressors on the questionnaire, and two specifically identified academic pressure

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The advanced technology embedded in HTP allows [them] to enjoy tobacco without burning [it], which we believe enabled the shift to these alternative products, explained Markram