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Youth smoking rates have risen from 14% in 2023 to 21% in 2025, highlighting the complex dynamics of tobacco and nicotine product use in Europe

Many people start with replacing the tobacco nicotine with an alternative such as a nicotine patch, chewing gum or spray

The chemical nicotine speeds up the central nervous system to increase neural activity in the brain, otherwise known as a stimulant

Therefore, the authors concluded, promoting complete cessation of both smoking and vaping will be beneficial to maximize the risk reduction of wheezing and other related respiratory symptoms. Other studies have focused on whether e-cigarette users are more likely to develop chronic obstructive pulmonary disease (COPD), a set of lung complications that makes it hard to breathe