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Vaping can lead to behavioral changes, such as: Changes in sleep patterns Decreased interest in hobbies and sports Mood swings or irritability Difficulty concentrating Academic performance decline Overspending Unusual purchases Note: Other factors, such as hormones and academic stress, can present similar behavioral changes

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Interview participants at first expressed high confidence that they would turn down an offer of smoking, since it seems like the obvious choice given their current attitudes towards the behavior

Keysendal and her team found that study participants using smokeless tobacco products had a 19% higher chance of developing SIDD and 13% for SIRD