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Nicotine dependence is a powerful addiction, and many patients with liver disease may have co-occurring substance use disorders, particularly alcohol dependence, which complicates cessation efforts [76]

According to Campaign for Tobacco-Free Kids, nearly 90% of youth e-cigarette users use flavored products , with fruit, candy/desserts/other sweets, mint and menthol reported as the most popular flavors

This shift explains why many long-term smokers end up with higher central adiposity compared to non-smokerseven when their overall weight seems stable