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May affect teens behavior, concentration, memory and their ability to learn Increases risk of low impulse control Chronic nicotine exposure may lead to insulin resistance & type 2 diabetes Inhaled nicotine increases heart rate and blood pressure Nicotine is highly addictive Nicotine acts as a gateway drug and primes the brain so things like cocaine and heroin are more rewarding Exacerbate asthma & other lung conditions Releases unsafe levels of lead, chromium, manganese, and/or nickel into the lungs & environment Increased risk of lung, bladder cancer Increased risk of heart disease Persistent cough, bronchitis, congestion/phlegm Mental Health: strong relationship between youth smoking and depression, anxiety and stress

These were produced in very small numbers during the seventeenth and eighteenth century, presumably as novelties or display pieces, but became more common from the mid-nineteenth century onwards when a number of firms made them commercially

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Understandably, most public health experts have been cautious about taking too strong a stance, recognizing the competing priorities and the ambiguities in the data