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Less is known about the relationship between vaping and smoking among individuals with moderate levels of psychological distress (MPD), a group whose members may not experience serious mental illness but still endorse higher rates of mental healthcare utilization, impairment, substance use, and other risks compared to those with no/low psychological distress 24

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Between the twinkle in his eye and the smirk on his face, one wonders if John Waters was familiar with the history of cigarettes and European film exhibition at the little theatres of yesteryear