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Effects of Addiction According to the lawsuits, using Juul e-cigarettes can lead to nicotine addiction, which is associated with cardiovascular, reproductive, and immunosuppressive problems. Nicotine, according to the cases, is a toxin known to harm the heart, eyes, reproductive system, lungs, and kidneys

The progress note emphasized the importance of including smoking cessation discussions during visits, recommending the required duration of at least three to five minutes for these conversations, and offering referral for a tobacco cessation clinic

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