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While the paper does not directly evaluate this, it potentially suggests that it is inattention and hyperactive/impulsive symptoms that drive the early take up of tobacco based products in young people with ADHD and that appropriate support to people with those ADHD symptoms (either through pharmacotherapy or other means) could ameliorate this. The paper is also noteworthy in the context of a recent British study, co-authored by Stott, which found people with ADHD have a much shorter life expectancy compared to the general population seven years shorter for men, and nine years shorter for women

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Maintenance and Long-term Performance Even the best system needs regular maintenance to perform at its best

They allow users to ingest nicotine while avoiding many of the harmful side effects of smoking