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Some of the most common causes behind this behaviors are the following: To prove courage or fearlessness on a dare Impact of advertisements and media portrayals To come across as more stylist, sophisticated, or modern Influence from friends, family, or relatives As an act of rebellion or defiance against authority To cope anxiety, tension, or stress As a method to control or lose weight Many people believe that smoking helps relieve stress and manage anxiety or depression

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In both the RCT and US adult population, AS smokers did not differ from other brand smokers in levels of TNE, but had higher TNE per cigarette smoked

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