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However, doing so is unlikely to result in a pleasurable high and can instead lead to unpleasant side effects like dizziness, confusion, extreme drowsiness, or nausea

On an individual state level, 4 states experienced a statistically significant increase in rate of adolescent perception of great risk from smoking, 1 state experienced a significant decline in rate of adolescent perceptions of great risk from smoking, and 46 experienced no change

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Higher infection risk follows as a consequence

The debate is expected to intensify in the coming months as state leaders determine how to close the projected deficit while balancing tax policy, affordability concerns, and funding for core state services