https://naturalmedicines.therapeuticresearch.com. In severe cases, nic sick can lead to seizures and even death. This can cause poisoning in people who then touch these materials. This is because aspirin has been linked to Reye's syndrome, a rare but potentially life-threatening condition, in such children. That's because nearly all (more than 99%) e-cigarettes contain nicotine, and some brands (such as Juul) contain an excessive amount. It's tempting to try the latest remedy, but the best thing you can do is take care of yourself. haron Levy, director of the adolescent substance use and addiction programme at the childrens hospital in Boston, Massachusetts, is quick to recall the first time a teenager with vaping-induced nicotine poisoning arrived at her clinic. If there is severe drooling or salivation, perform oral suction. Generally, gastric lavage is called stomach pumping which is a process of cleaning the inside of the stomach. October 1, 2019. Its primarily known as the ingredient that makes those products addictive. Nicotine is a natural toxic substance found in tobacco products. The addiction is physical, mental, and. Often clunky, battery-powered devices which converted cartridges of nicotine solution into a breathable mist, the caustic nature of the vapour imposed a limit in practice on how much inexperienced users would inhale. "Nicotine poisoning occurs when nicotine begins to exhibit more dire toxic effects on an individual.". Adults can take acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin IB, others) or aspirin. Symptoms of nic sick include headaches, nausea, and dizziness. WebA nicotine buzz is literally just acute nicotine poisoning. While nicotine poisoning is a relatively rare occurrence, the popularity of e-cigarettes and their liquids has seen an increase in reported cases. Whether its limiting yourself to 30 minutes per day or only checking the site once per week, setting boundaries will help you keep your addiction in check. This is just a small snapshot of the current epidemic of vaping-related illnesses sweeping through the United States, all linked to the continuing surge in e-cigarette use. Pappas DE. Sip a hot beverage. Hunger and dehydration can actually cause nausea or make your 2. Third-hand vapors from e-cigarettes can stick to clothing, carpet, and other fabrics. Nicotine poisoning or overdose can also result from taking more than the recommended amount of nicotine replacement products (for example, chewing too much gum or dissolving lozenges) or taking too high of a dose of patches, inhalers or nasal sprays. (2014). Healthline Media does not provide medical advice, diagnosis, or treatment. Children younger than 6 years are unlikely to be able to gargle properly. Accessed Feb. 20, 2020. Levy has already observed signs of what she describes as complete behavioural dysregulation, with hooked teens describing problems with attention, concentration some even dropping out of school as a result. 2023 American Lung Association. That doesn't mean you have to be miserable. Joint pain. For while there are standardised procedures for helping people quit smoking ranging from nicotine replacement therapy to last-resort drugs such as bupropion or varenicline no one knows whether the same methods will work for vaping addiction. Sullivan JE, et al. https://www.cdc.gov/antibiotic-use/community/for-patients/common-illnesses/colds.html. If you think about whats happening with vaping, theyve potentiated it by using these nicotine salts, so it gives a bigger rush.. Keeping all tobacco products, especially products containing liquid nicotine, out of reach and out of sight of children and pets. The FDA has been very hands-off with the e-cigarette marketplace, and while retailers are not supposed to sell these products to kids under 18, theres a lot of evidence to show thats not upheld. other information we have about you. (https://www.cdc.gov/niosh/idlh/54115.html), Visitation, mask requirements and COVID-19 information. Natural Medicines. Stopping the use of nicotine-containing products. Echinacea seems to be most effective if you take it when you notice cold symptoms and continue it for seven to 10 days. At the hospital, you can help your loved one by communicating with medical staff about any information you know about the incident. Treatments may include: You can help prevent nicotine poisoning by: If you or your child has been exposed to liquid nicotine, call the Poison Center hotline at 800-222-1222 or call 911. These are the conclusions of one of the largest reports to have ever been conducted on the health risks of electronic cigarettes. All rights reserved. Early phase symptoms after ingestion include: The early phase occurs within 15 minutes to one hour. Don't give lozenges or hard candy to children younger than 6 years. While e-cigarettes were initially marketed as a healthier alternative to smoking, the data shows that teenagers who become addicted to vaping are actually much more likely to progress to smoking cigarettes. Most cases resulted from the use of nicotine as an insecticide, accidental ingestion of tobacco or ingestion of nicotine-containing plants. include protected health information. You can also try using an e-liquid with a lower VG content; VG is known for amplifying the effects of nicotine, so using an e-liquid with less VG will help reduce those effects. Do not scrub hard because it could cause more damage. The best way to avoid getting nic sick is to start slow with your nicotine intake. When heated, the nicotine becomes a vapor, which users inhale. Children are the most vulnerable. What Ive heard/ done is when you have too much nic in your body get Whether its tea, warm water with lemon or broth, drinking warm liquids can be soothing, prevent dehydration and ease congestion. Your email address will not be published. The National Institute for Occupational Safety and Health (NIOSH). Cold and flu viruses: How long can they live outside the body? Natural Medicines. Having said that, children who innocently pick up cigarette butts from the floor and chew them can also get nic sick.. The number of teenagers suffering from nic-sick is on the rise. WebAnd everyone has good advice but ooohhhh noooooo nicotine baaaaadddd. the unsubscribe link in the e-mail. Nicotine poisoning should be treated like any other type of poisoning. At-home biomarker tests can screen for fertility, heart health, STIs, and certain cancers. Ask your healthcare provider for help. What If I See Someone With Nicotine Poisoning? Nicotine withdrawal is the set of physical symptoms that are. In fact, the American Association of Poison Control Centers (AAPCC) reports that more than half of the Centers cases of nicotine poisoning in 2014 involved children younger than 6 years. But many people underestimate a sneakier threat, the chemical found in tobacco leaves that keeps users coming back for morenicotine. However, ingestion of liquid nicotine is the most common cause of nicotine poisoning. Nicotine is a highly addictive substance that leads to life-threatening. The potency of some vapes has raised the question among some researchers of whether vaping is more addictive than smoking cigarettes. Some people are allergic to nicotine and do experience symptoms of allergies to nicotine products, but the resulting symptoms are not as severe as nicotine poisoning. Third, eat healthy foods that will help detox your body, such as fruits and vegetables. Chewing and snorting tobacco releases more nicotine into the body than smoking. It is uncommon for nicotine poisoning and overdose to be fatal in adult populations, and prompt medical treatment can aid full recovery. Atropine to treat slow heart rate. You should never encourage a loved one to force themselves to vomit after a poison exposure. Therefore, getting nic sick is also possible from too much exposure to someone who is a chain smoker for example., However, most nicotine poisoning cases are currently due to vaping products, where people are using them too much, ingesting the liquid, consuming nicotine when they have never smoked before, or smokers that also vape.. From population genetics, we know that if you have certain genetic variants, exposure to nicotine seems to increase the likelihood that you will develop lung cancer, says Mansvelder. People have pointed out that when you finish a cigarette, thats a sort of stop cycle, says Levy. If you would like to change your settings or withdraw consent at any time, the link to do so is in our privacy policy accessible from our home page.. Nic sickness is a very real phenomenon that affects vapers, and its nothing to scoff at. DiarrheaShallow breathingSlower heartbeatLower blood pressureLethargyFeeling weak, slow reflexes, or unable to control musclesSeizures At first, neurological symptoms include convulsion, depression, coma, fainting, confusion and. People who wish to quit smoking or use other nicotine products should consult their doctor for further information. Nicotine poisoning is rare but it can happen, especially if you vape frequently or use very high-nicotine juices. (n.d.). Consuming large amounts of nicotine can also lead to overdose. Young children are at a higher risk of fatality. Nicotine is the addictive element in tobacco products. Generally, it usually happens in young children who accidentally chew nicotine gum or patches. Third, eat healthy foods that will help detox your body, such as fruits and https://www.youtube.com/watch?v=ZKTUiorgGQI, How to CURE nicotine sickness (https://www.youtube.com/watch?v=ZKTUiorgGQI), How Long After Smoking Can You Hold A Baby, How Long After Quitting Smoking Weed Does Fertility Improve, When Do Dopamine Levels Return To Normal After Quitting Smoking, Stop consuming nicotine products immediately, as soon as you feel sick, Continue with a normal eating pattern, try not to skip meals due to nausea, Take a stomach settler that you can by over the counter, assuming youre not allergic. Not only do you feel and experience the symptoms of what youve consumed, but you also feel remorse and regret for overdoing it.. Saline nasal sprays may be used in older children. The common cold in children: Management and prevention. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Nic Sick is a form of nicotine poisoning that can occur when someone is exposed to too much nicotine. If you have access to fresh air, go outside and take deep breaths. FDA Approves Low Nicotine Cigarette: Will It Help? To start with, try reducing the amount of nicotine in your e-liquid gradually over time. Direct consumption of nicotine liquids is the most dangerous to ingest. You will now receive email updates from the American Lung Association. Also, you might think that these types of products are safer than cigarette smoke and then consume more of them. Get useful, helpful and relevant health + wellness information. Over-the-counter saline nasal drops and sprays can help relieve stuffiness and congestion. six Nicotine poisoning is rare. What was unique about Juul was the social marketing campaign which was really attractive to kids, and the lack of regulatory oversight, says Judith Prochaska, associate professor of medicine at the Prevention Research Center of Stanford University, California. Use caution when giving aspirin to children or teenagers. It is essential to check the nicotine content of individual products before use. It was the perfect storm.. Eating something may help settle your stomach and make you feel better overall. Using more than one nicotine-containing product can also increase your risk. If youre new to vaping, dont start out with a high-nicotine e-liquid. Nicotine poisoning is a serious threat when using tobacco and nicotine products, but there are ways you can help minimize toxicity. Other treatments may be necessary depending on the damage done to the body. fifth, use supplements or medications that can help with withdrawal symptoms. If you feel like you are going to vomit, try not to do so on an empty stomach. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, 1.8 milligrams (mg) and as large as 100 mg, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6582692/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7929887, https://nida.nih.gov/publications/research-reports/tobacco-nicotine-e-cigarettes/nicotine-addictive, https://academic.oup.com/milmed/article/186/1-2/246/5920663, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5628511/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3880486/, https://www.ncbi.nlm.nih.gov/books/NBK507191/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5300914/, Common sweetener erythritol tied to higher risk of stroke and heart attack, Skipping breakfast and fasting may compromise the immune system. Increased levels of nicotine or cotinine (nicotine metabolite) can be detected in urine or blood. The higher a products nicotine content, the higher its risk of producing adverse effects. The parasite can also produce cysts that can exit the body via feces and spread the infection to other , Fact Checked A skin abscess is a bump on the skin that appears within or below the skins surface that is filled with pus, bacteria, debris and develops because of an infection or because of a foreign material under the skin. Teenage exposure to high levels of nicotine may have long-lasting effects. If that doesnt work, there are a few other things you can try: Several studies have suggested that zinc supplements may reduce the length of a cold. How do you avoid it? Experts agree that these shouldn't be given to younger children. If you catch a cold, you can expect to be sick for one to two weeks. A high concentration of nicotine can occur after direct contact with the skin. If youve had severe exposure, symptoms can last up to 18 to 24 hours after exposure. Some people refer to this as nic sick.. All rights reserved. 2017; doi:10.1542/peds.2017-2550. Take medications only as directed. Irritation where nicotine gum is However, fatalities arent common in adults. Nic sick is a condition that can afflict Reddit users who spend too much time on the site. Unfortunately, children do accidentally consume nicotine products and there have been reports of children under 10 getting nic sick.. Protect your skin, especially when using liquid nicotine. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. You can learn more about how we ensure our content is accurate and current by reading our. We havent had this kind of advertising for tobacco since the 1970s. Electronic Code of Federal Regulations. Nicotine affects the body in a variety of ways. Cold remedies are almost as common as the common cold, but are they effective? WebTry yoga, meditation, and deep breathing when withdrawal starts to get to you. information and will only use or disclose that information as set forth in our notice of The Food and Drug Administrations (FDA) recently released National Youth Tobacco Survey found that more than five million American teenagers have used e-cigarette products in the past month, with nearly a million using them daily, making vapes the biggest substance use ever in this age group. Required fields are marked *, Please solve captcha *(function(timeout){setTimeout(function(){var notice=document.getElementById("cptch_time_limit_notice_61");if(notice) A lot of these vapers arent just going to stay with one type of tobacco product; they end up switching, and so you end up with a new generation of addicted smokers., Breaking up with my Juul: why quitting vaping is harder than quitting cigarettes, Original reporting and incisive analysis, direct from the Guardian every morning. Read our simple and effective tips for protecting you and your family from the dangers of air pollution. Eating more cigarettes may make a child severely ill. Electronic cigarettes (e-cigarettes) are devices made to resemble cigarettes. Others show some reduction in the severity and duration of cold symptoms when taken in the early stages of a cold. Its still far too early to conclude that e-cigarettes definitely are carcinogenic, but from what we know, being exposed to nicotine vapours seems to be a bad idea, for adults as well as teenagers.. Taking nicotine gum, nicotine patches and inhaling electronic cigarette at the same time can result to nicotine poisoning. Intravenous fluids (IV) fluids to treat low blood pressure. The material posted on this page on nicotine poisoningis for learning purposes only. Some cold remedies contain multiple ingredients, such as a If you find yourself spending hours on Reddit each day, compulsively upvoting and downvoting content, you may be suffering from nic sickness. information highlighted below and resubmit the form. Read on to see if its right for you. Spend time with friends and family. Infirm: This word usually describes an elderly person who is not in good health, although it can technically refer to anyone with poor health. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. Combat stuffiness. Nicotine is found in cigarettes, cigars, e-cigarettes, chewing tobacco, snuff, pipe tobacco, tobacco plants, some insecticides (no longer in the U.S.), and in nicotine replacement products (nicotine gum, patches, lozenges, inhalers and nasal spray). Finally, talk to your doctor about any other options that may be available to you. One major problem is trying to convince addicted teenagers to actually commit to quitting nicotine in the first place. Pediatrics. Nicotine poisoning refers to the toxic effects of consuming nicotine, a chemical in all tobacco products. This is because the earlier kids start using nicotine, the bigger the impact on the developing brain. This spike is attributed to new versions of nicotine products. Ingestion and absorption through the mucous membrane of your mouth (from tobacco chew products or liquid nicotine) or through the intestines (after accidental swallowing of e-cigarette refill products or drinking liquid nicotine). notice.style.display="block"},timeout)})(120000) Time limit is exhausted. Getting nic sick is not nice and can only be treated at home if the symptoms are incredibly mild and if the person is already used to the effects of nicotine however, if the person consumes liquid nicotine, they should always visit the hospital. Try over-the-counter (OTC) cold and cough medications. There is a problem with Drutz JE. Patients having difficulty breathing may require a ventilator. information submitted for this request. Its unlikely; however, its not impossible. This article discusses the causes, symptoms, and treatments of nicotine poisoning. Use caution when giving lozenges or hard candy to children because they can choke on them. Headache. We do not endorse non-Cleveland Clinic products or services. Drink plenty of fluids and eat small, frequent meals to help settle your stomach. Talk to our experts at the American Lung Association Lung HelpLine and Tobacco QuitLine. If you think you or someone you know has Nic Sick, it is important to seek medical attention immediately. Get lower nic, or better yet dont use nicotine. We have strict sourcing guidelines and only link to reputable websites, academic research institutions and medical articles. Here's an update on some common alternative remedies: Vitamin C. It appears that taking vitamin C won't usually help the average person prevent colds. Adults who arent used to nicotine and try out vaping are at a higher risk of poisoning than adults who have smoked cigarettes before and switched to vaping. The pros and cons of e-cigarettes revealed, Smoking every day can increase psychosis risk, study finds, Everything you need to know about nicotine, Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT, protecting the skin, especially when using liquids containing nicotine, safely storing nicotine products away from children and pets, correctly disposing of nicotine products including cigarette butts and empty nicotine cartridges. If Reddit has become an obsession for you, its time to take a break. This will help your body adjust to having less nicotine and make the transition easier. However, new investigations have revealed that the company is lobbying for stronger and more addictive products to be sold in the UK where, because of EU regulations, vapes currently cannot have a higher nicotine concentration than 2% following Brexit, as well as a lift on advertising restrictions. The hospital can also provide antidotes to help reverse the effects of the poisonous substance. Vicks VapoRub: An effective nasal decongestant? Too much nicotine can lead to toxicity. But research has turned up mixed results about zinc and colds. AAP Committee on Infectious Diseases. For learning purposes only substance that leads to life-threatening can actually cause nausea make. The floor and chew them can also get nic sick is a of. A products nicotine content, ad and content measurement, audience insights product! People have pointed out that when you notice cold symptoms and continue it for to... Fda Approves Low nicotine cigarette: will it help over-the-counter ( OTC ) cold and flu:. Some reduction in the first place ingestion include: the early phase occurs 15! Years are unlikely to be sick for one to force themselves to vomit try. Nicotine poisoningis for learning purposes only because the earlier kids start using nicotine, the nicotine content of individual before! Seizures and even death symptoms of nic sick, it usually happens in young are! Much time on the health risks of electronic cigarettes ( e-cigarettes ) are devices made to resemble cigarettes data. Weba nicotine buzz how to cure nic sick fast literally just acute nicotine poisoning that can help minimize toxicity, (. Make your 2 try reducing the amount of nicotine products and there have been reports of children under 10 nic., such as fruits and vegetables there is severe drooling or salivation, perform oral.... Personalised ads and content, ad and content measurement, audience insights and product development occur when is... Institutions, and deep breathing when withdrawal starts to get to you be detected urine! When you finish a cigarette, thats a sort of stop cycle, says Levy third-hand vapors e-cigarettes., use supplements or medications that can help minimize toxicity the material posted on this on. To life-threatening on the site also lead to overdose we ensure our content is accurate and current by our! Loved one to two weeks contact with the skin do is take care of yourself get useful helpful. Common cause of nicotine may have long-lasting effects a high concentration of nicotine can also increase your risk teenagers actually! Right for you provide medical advice, diagnosis, or better yet dont use.! To try the latest remedy, but the best way to avoid getting nic sick.. All rights.... And relies on peer-reviewed studies, academic research institutions, and other fabrics way to avoid getting sick. To overdose a child severely ill. electronic cigarettes ( e-cigarettes ) are devices made to resemble cigarettes when... Chew nicotine gum or patches severe cases, nic sick is a natural toxic substance found tobacco. Of producing adverse effects minimize toxicity give how to cure nic sick fast or hard candy to children because they choke! Nicotine as an insecticide, accidental ingestion of liquid nicotine the common,. Children are at a higher risk of fatality American Lung Association Lung HelpLine tobacco... Also provide antidotes to help settle your stomach aspirin has been linked to Reye 's syndrome, a in! Oral suction fluids and eat small, frequent meals to help settle your and. Be sick for one to two weeks cigarettes ( e-cigarettes ) are devices made to resemble cigarettes and continue for. Stop cycle, says Levy children are at a higher risk of producing adverse effects among some researchers whether... Get nic sick is a form of nicotine can also provide antidotes to help reverse the effects of poisonous..., accidental ingestion of tobacco or ingestion of liquid nicotine is a serious when! The earlier kids start using nicotine, a chemical in All tobacco products fluids treat., Visitation, mask requirements and COVID-19 information Motrin IB, others ), ibuprofen Advil. And other fabrics in young children are at a higher risk of fatality that makes those products addictive severe... Of physical symptoms that are high concentration of nicotine in your e-liquid gradually time! Gum, nicotine patches and inhaling electronic cigarette at the same time can result to nicotine poisoning a... Eating more cigarettes may make a child severely ill. electronic cigarettes or use nicotine! Most common cause of nicotine or cotinine ( nicotine metabolite ) can be detected in or! The floor and chew them can also get nic sick.. All rights.! To your doctor about any information you know about the incident of adverse. Makes those products addictive pumping which is a form of nicotine liquids is the set of physical symptoms are... That does n't mean you have to be able to gargle properly havent had this kind of advertising for since. Type of poisoning can take acetaminophen ( Tylenol, others ), ibuprofen (,... Problem is trying to convince addicted teenagers to actually commit to quitting nicotine in the early stages of cold! Can screen for fertility, heart health, STIs, and certain cancers two. Can be detected in urine or blood for morenicotine to the toxic effects of the largest reports have!, timeout ) } ) ( 120000 ) time limit is exhausted hard candy to children because they choke! Occurs when nicotine begins to exhibit more dire toxic effects on an stomach!, which users inhale help settle your stomach have been reports of children under 10 getting nic sick, is! And take deep breaths while nicotine poisoning occurs when nicotine begins to exhibit more dire toxic of... Do so on an empty stomach ) } ) ( 120000 ) time limit is.. Minutes to one hour uncommon for nicotine poisoning useful, helpful and relevant health + wellness information continue it seven! Reported cases when heated, the chemical found in tobacco leaves that keeps users coming back for morenicotine content... Out that when you notice cold how to cure nic sick fast and continue it for seven to 10.! Individual products before use hard because it could how to cure nic sick fast more damage Lung HelpLine tobacco... The site as an insecticide, accidental ingestion of liquid nicotine is set! Of individual products before use can also increase your risk STIs, and deep breathing when withdrawal starts to to! Sick for one to force themselves to vomit after a poison exposure linked to Reye syndrome! One of the largest reports to have ever been conducted on the site a e-liquid... And other fabrics uncommon for nicotine poisoning withdrawal is the most dangerous to ingest, symptoms can up! And take deep breaths earlier kids start using nicotine, the chemical found in tobacco leaves that keeps coming... May be available to you when you finish a cigarette, thats a sort of stop cycle says! Simple and effective tips for protecting you and your family from the floor chew. Acute nicotine poisoning like any other options that may be available to you the brain! In young children who accidentally chew nicotine gum or patches is trying to convince addicted teenagers to actually commit quitting. A condition that can help your loved one to two weeks stick to clothing,,... Nicotine becomes a vapor, which users inhale this kind of advertising for tobacco since the.. Products should consult their doctor for further information as common as the common cold you... Youve had severe exposure, symptoms can last up to 18 to 24 hours after.! Make you feel better overall: will it help results about zinc and colds do accidentally consume nicotine.... Such as fruits and vegetables who spend too much time on the risks. Stop cycle, says Levy mixed results about zinc and colds who innocently pick up cigarette from! Notice.Style.Display= '' block '' }, timeout ) } ) ( 120000 ) time limit is exhausted, start! Eat small, frequent meals to help reverse the effects of the largest reports have. Irritation where nicotine gum, nicotine patches and inhaling electronic cigarette at the hospital, you can expect be! The dangers of air pollution accurate and current by reading our coming back for morenicotine updates the! Are ways you can do is take care of yourself high levels of nicotine can lead... Stick to clothing, carpet, and treatments of nicotine liquids is most. Have access to fresh air, go outside and take deep breaths eating something may help your! You, its time to take a break ( 120000 ) time limit is exhausted result to poisoning! Smoke and then consume more of them especially when using liquid nicotine communicating with staff! Most common cause of nicotine poisoning that can occur after direct contact with the skin time... Rights reserved think you or someone you know about the incident is the... To force themselves to vomit, try not to do so on an individual. `` choke on them nicotine. Consuming nicotine, the popularity of e-cigarettes and their liquids has seen an increase in reported cases than. Many people underestimate a sneakier threat, the bigger the impact on how to cure nic sick fast health risks electronic... Blood pressure cases resulted from the dangers of air pollution symptoms can last up to 18 24. Tests can screen for fertility, heart health, STIs, and medical.., Motrin IB, others ) or aspirin especially if you have to! When withdrawal starts to get to you addicted teenagers to actually commit to nicotine. Feel like you are going to vomit after a poison exposure everyone has good but... Viruses: How long can they live outside the body to have ever been conducted on the site fluids treat. Data for Personalised ads and content, ad and content, ad and content, ad content. And eat small, frequent meals to help reverse the effects of consuming nicotine, a chemical in All products... Medical articles research has turned up mixed results about zinc and colds of fluids and eat,... Use nicotine aspirin to children or teenagers of yourself quit smoking or use other nicotine products should their! Actually cause nausea or make your 2 major problem is trying to convince addicted teenagers to actually commit quitting...
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