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For a long time, it was thought that added tobacco altered the high, making it feel less energetic with reduced psychoactive effects

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Nicotine is known as one of the toxic substances that stimulate the nervous system, creating feelings of relaxation and pleasure when consumed

[12] Nicotine is used recreationally for its stimulant and anxiolytic effects

26,27 However, the proportion of high schoolers using nicotine increased overall from 24.2% in 2011 to 27.1% in 2018, as the proportion using e-cigarettes increased from 1.5% to 20.8% during the same period

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