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While some physicians acknowledged the potential harm reduction benefits of e-cigarettes, similar to perspectives cautiously supported by Public Health England [25], the majority emphasized the health risks and addiction potential associated with e-cigarette use, aligning more closely with the World Health Organizations restrictive stance [26]

Tell your doctor right away if you have new or sudden changes in mood or behavior, including new or worse depression or anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, more active or talkative, or have thoughts about suicide or hurting yourself