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This leads to physical and psychological tobacco withdrawal with symptoms such as poor concentration, insomnia, feelings of tension, restlessness, low mood and anxiety

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Other studies show that e-cigarettes may cause injury to the small airways of the lungs and are associated with diseases like pneumonia and interstitial lung disease and decreased immune cell function in the lungs

Health-care professionals should increase patients awareness of the hazards of smoking and provide smoking cessation advice to enhance their self-efficacy in quitting [122, 123]