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If supported by other work, the studys findings may mean that pod-based electronic cigarettes offer an even greater risk of nicotine dependence than other nicotine [and] tobacco products in this vulnerable population, says psychologist Thomas Eissenberg of Virginia Commonwealth University in Richmond, who coauthored a commentary accompanying the study

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[33] [34] Nicotine addiction seems to worsen mental health problems, [33] but industry marketing has claimed that nicotine is both less harmful and therapeutic for people with mental illness, and is a form of "self-medication"