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A 2025 study by Streck and colleagues evaluated using ecigarettes versus conventional nicotine replacement therapy (cNRT) in adults with SUDs and found both options were safe and well toleratedthough the study did not directly assess SUD recovery outcomes

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Factsheet: Smokeless Tobacco: Health Effects

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We found no relationship between using marijuana and seeking out peers who use marijuana, and no relationship with conduct problems. The findings, recently published in the journal Addiction, are based on a research project that Romer and his colleagues launched in 2004: the Philadelphia Trajectory Study