When chewed, the leaves and stem release cathine and cathinone, which affect the reuptake of epinephrine and norepinephrine (causing wakefulness), and affect the serotonin receptors (producing euphoria)
In Michigan, 29.1 percent of high school youths said they used tobacco products, including e-cigarettes, and 10 percent said they smoke cigarettes, according to the CDCs National Youth Risk Behavior Survey
A recent update classifies e-cigarettes as tobacco products under Texas law
Atlanta, GA: USDHHS, US centers for disease control and prevention, national center for chronic disease prevention and health promotion, office on smoking and health
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