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When people continue this use after time it makes the happy feelings stronger and because of this the individual typically wants to stay high so to not experience the negative thoughts associated with the come down

- What's going on

The focus of follow-up efforts to reduce smoking should be directed towards combustible tobacco smokers, while simultaneously exerting control over the increasing number of EC users and individuals who engage in dual use, particularly among young people

Continued daily consumption of tobacco cigarettes among dual users may play a role, as 82% of dual users reported daily cigarette smoking