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Yet within this changing landscape, some specialty categories continue to carve out space for themselves

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Clinical and epidemiological studies indicate that adolescents who vape report higher rates of respiratory symptoms, such as chronic cough, wheezing, and shortness of breath, and may exhibit early declines in lung function and exercise tolerance

Smoking initiation among adolescents and young adults has also declined since the mid-1960s, as estimated by the National Survey on Drug Use and Health (NSDUH) (SAMHSA 2005)