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However, a release of dopamine can create a sense of reduced stress, mainly by relieving nicotine withdrawal symptoms, such as: Irritability Anxiety Restlessness Trouble concentrating These symptoms can appear within hours of the last cigarette or vape and oftentimes drive continued use

The study relied entirely on self-reported data, which may be subject to recall bias, underreporting, or overreporting, particularly for sensitive behaviors such as nicotine use, dependence symptoms, or reasons for vaping