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All eight models showed increasing peer influence effects as FNE increased

Chest tightness or chest pain

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These include more severe nicotine withdrawal symptoms, increased emotional sensitivity, and heightened stress reactivity. These barriers can increase the likelihood of relapse and require targeted support during cessation efforts

"There are direct and indirect benefits of harm reduction for young adults when smoking declines in families and communities," she said, noting that adults using less harmful nicotine alternatives can help reduce youth exposure to smoking, imitation, and secondhand smoke