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It's those flavors, with appealing names such as Mocha Madness, Cotton Candy, Bourbon, Cowboy and Cuban Supreme, that have been a point of contention for some who worry that teenagers may be enticed

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Other symptoms can include fever, general body discomfort, rubbing or pulling of the ears in children, vomiting and diarrhea in infants, dizziness, loss of balance and fluid draining from the ear

In addition, many patients report stigma or fear of judgment when discussing tobacco use during pregnancy, which can lead to underreporting or reluctance to seek help