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Hawaiis health agency said teen vaping is particularly concerning because nicotine in adolescents can disrupt the growth of brain circuits that control attention and learning and lead to increased impulsivity and mood disorders

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In macrovascular complications, consumption is associated with a 2 to 3 times higher incidence of congenital heart defect and mortality Tobacco has been shown to be a significant risk factor for all-cause mortality, and for mortality due to cardiovascular diseases and coronary heart disease in diabetics