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[19] During the early stages, a combination of perceived pleasure acting as positive reinforcement and desire to respond to social peer pressure may offset the unpleasant symptoms of initial use, which typically include nausea and coughing

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Source control remains most effectivethe NHS Better Health campaign emphasizes that smoking outdoors eliminates the majority of indoor contamination, with air purifiers handling residual odors from clothing and incidental exposure rather than active smoking sessions

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However, both are unlikely