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More than half a million youth try smokeless tobacco for the first time

Studies have suggested that low doses have a depressant effect, whilst higher doses have stimulant effect." The health risks of smoking are not uniform across all smokers but vary according to amount of cigarettes smoked, with those who smoke more cigarettes at greater risk, although light smoking is still a health risk

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Testing for cotinine can usually tell whether you smoke or vape versus whether you have had indirect exposure