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All smoking products carry risks, even without nicotine

However, even though smokers are aware of the health threats posed by tobacco cigarettes, it is extremely hard for them to quit smoking, especially for those heavy smokers

In long-term or heavy use, reported issues include addiction (risk is 9% overall, but 17% for those who start use in adolescence, and up to 50% in those who are daily users), altered brain development, poor educational completion/outcomes, cognitive impairment (IQ levels impaired with frequent use during adolescence), diminished long-term life satisfaction, increased risk of psychotic disorders such as schizophrenia