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Available at (accessed April 2020)

Since they do not produce smoke or need to be spit out, many users see them as a safer alternative to smoking or chewing tobacco

Down compulsive desire to pull out one's hair excessive need for attention inability to control urination anxiety causes individual to not speak in specific situations or to specific people voluntary or involuntary fecal soilage loss of memory formerly mental retardation, IQ below 70 repeated mental thoughts and behaviors, often with "magic number" formerly hypochondriasis, excessive belief that one is ill or sick constantly inability to cope with a major stressor/life event excessive acquisition of objects with inability/ unwillingness to discard 20 Clues: loss of memory excessive need for attention inability to control urination appetite for non-nutritive substances irrational fear of object/person/etc