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Furthermore, e-cigarettes are thought to increase dual smoking and downstream substance use through the gateway hypothesis, whereby exposure to nicotine products further puts individuals at risk of initiating other substances by stimulating neurotransmitters associated with the reward system 4,55,71,72,73

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Finally in 4th gear the gear seems to slip up and start rattling - it does not pop out of gear - just seems to not stay seated all the way - any ideas on that