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Like the aforementioned study (13), as well as studies from other European countries (6), the results of our study also show that, in Germany, e-cigarettes are predominantly used by current tobacco smokers (5.1%), to a lesser extent by ex-smokers (1.6%), and by only very few never-smokers (0.3%)

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Look for mental health signs that often accompany oral fixation: worsening anxiety, new or deeper depression, sleep problems, or rising panic attacks

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