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Epinephrine elevates heart rate and blood pressure, causing the initial jolt of energy that many smokers report
While surveys show that large, traditional cigar use among youth is lower than that of cigarettes, it is not insubstantial, as the industry has argued
For example, if blunt use were automatically classified as tobacco co-use, 32.3% of students in this study who reported exclusively using tobacco-free blunt wraps would have been misclassified as using tobacco blunts
