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Common symptoms include feelings of worthlessness or guilt, fatigue or low energy, difficulty thinking or making decisions, changes in appetite or weight, and thoughts of death or suicide

Eur J Prev Cardiol 25(17):18221830 Busch AM, Leavens EL, Wagener TL, Buckley ML, Tooley EM (2016) Prevalence, reasons for use, and risk perception of electronic cigarettes among post-acute coronary syndrome smokers

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Cigarette smoke negatively impacts air quality because tobacco smoke produces fine particulate matter, which is the most dangerous element of air pollution (for health)