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Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 19(1), 313

The following are some signs of nicotine use by vaping or HNB devices: Carrying vaping or HNB devices Starting to use combustible cigarettes Stealing money to pay for their vaping Showing signs of nicotine toxicity, overdose, or withdrawal Strong artificial candy-like or fruity scents Skipping school to vape, or decrease in grades due to time spent vaping Many teenagers believe vaping nicotine or using HNB devices to be safer than smoking combustible cigarettes

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The result regarding second hand smoke involvement may have been a false negative, since other similar studies have generated positive results