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These symptoms can include: Insomnia Anxiety Irritability Flu-like symptoms Headaches Difficulty walking Suicidal thoughts However, these withdrawal symptoms are generally not as severe as those associated with some other substances

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PERCENTAGE OF MIDDLE AND HIGH SCHOOL STUDENTS WHO EVER TRIED FLAVORED TOBACCO PRODUCTS, 2008 IYTS Middle School 6% Smokeless Tobacco 9% Cigars 8% Black & Mild cigars, Swisher Sweets cigarillos, and/or Phillies Blunt cigars High School 15% Smokeless Tobacco 30% Cigars 32% Black & Mild cigars, Swisher Sweets cigarillos, and/or Phillies Blunt cigars CURRENT USE OF TOBACCO PRODUCTS AMONG MIDDLE AND HIGH SCHOOL STUDENTS, 2008 IYTS Middle School 10% Any Tobacco Products 4% Cigarettes 3% Smokeless Tobacco 4% Cigars High School 31% Any Tobacco Products 18% Cigarettes 8% Smokeless Tobacco 15% Cigars Education GED: 43.2%, College: 10.7% Socioeconomic status Low SES : ~50% Age 18-24 = 24.4%

The prevalence of e-cigarette use tripled from 2013 to 2014 most likely due to reductions in cost and improvements in product usability