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Certain variants incorporate enhanced filter structures (e.g., composite or high-density acetate filters) to regulate smoke delivery and improve filtration efficiency, while most standard versions do not rely on capsule-based systems

Immediate side effects can include: Chest pain or tightness Rapid heartbeat Dry mouth and dehydration Aggression or anxiety Dizziness or fainting Long-term risks include: Lung and throat damage High blood pressure and heart disease Severe insomnia and psychosis Permanent changes to brain chemistry Addiction and overdose The Drug Abuse Warning Network reports that emergency room visits for stimulant misuseincluding Adderallhave nearly tripled in the past decade

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Three of the patients also smoked nicotine-infused vapes, while two smoked marijuana or regular cigarettes