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About a quarter of surveyed high schoolers reported using electronic cigarettes in the past 30 days, according to the Alaska Tobacco Facts Update, released last week by the Alaska Department of Health

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4 Discussion Since their emergence as an alternative to tobacco smoking cessation, electronic nicotine delivery systems (ENDS) have been gaining popularity globally, with increasing use among non-tobacco smoking groups such as youth and even children (7, 16, 55)

NRT is a form of therapy that involves the use of nicotine replacement products, such as gums, patches, and inhalers, to reduce cravings and withdrawal symptoms