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Tobacco use among middle and high school students in the US has reached its lowest level in 25 years, according to the 2024 National Youth Tobacco Survey, though disparities persist

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Vitolo said nicotine products are "so addictive that it would be unfair to take them away from long-time users." "And, because they are so addictive, it would be unfair to allow those currently too young to lawfully purchase these products to ever do so," Vitolo said

It works by blocking adenosine, which is a neurotransmitter that makes one feel relaxed and is often used to promote sleep by binding to its receptors in the brain, thus causing improved alertness and mood