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The girls from my middle school cafeteria are now in college: still thin, model-esque and picture-ready, quick to deny and defend their addiction, each insisting the vape just helps them digest or keeps their appetite in check. According to neuroscientists at UCLA, the continuous feedback loop of likes, compliments and peer validation trains these girls behavior: Every inhale seems justified, every calorie avoided is rewarded

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Nicotine withdrawal may: Increase cravings for other substances Make stress feel harder to regulate Trigger familiar patterns of seeking relief Create fear that nothing is helping anymore This does not mean recovery is failing