The authors only reported salivary data from those who abstained from cigarettes but used other nicotine products, "dual users" who smoked cigarettes and used nicotine products and "reducers" who slashed their smoking habits in half

The possession, importation, distribution and sale of bidis to both minors and adults is prohibited.6 Minors are prohibited from buying vapor products.6,7 Vending machine sales of vapor products are restricted to places inaccessible to persons under 18.9 Local tobacco laws Charleston prohibits new establishments that devote 33% of their floor area to the space and display of e-cigarettes and tobacco products from being within 1500 feet of another vape/smoke shop or elementary, middle, or high school.10 Quitting statistics and benefits Quitting vaping and smoking in West Virginia The CDC estimates 47.0% of daily adult smokers in West Virginia quit smoking for one or more days in 2019.3 In 2014, the Affordable Care Act required that Medicaid programs cover all tobacco cessation medications.7** West Virginias state quit line invests $0.96 per smoker, compared to the national median of $2.37.7 West Virginia does not have a private insurance mandate provision for cessation.7 Notes and references Notes and references Updated June 2023 *The datasets for both adults and youth prevalence were used to make direct comparisons at the state and national levels

While it's hard to view his performance as an accurate portrayal of OCD, it has a genius to it that channels the most performative and attention-grabbing instincts of Cage's style into a sad portrait of a man who is allowing his conscience to eat away at him through psychosomatic afflictions
Our interdisciplinary framing considered these excessive behaviors as quasi-deviant 15 and indeed they appear to cluster with openness to e-cigarettes