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The support, however, was a cunning smoke-and-mirrors tactic, says Prabhat Jha, a University of Toronto professor who is an expert on tobacco in India

A single Elf Bar, however, wont cut it

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This persistence occurs because repeated movements over time, combined with thinning skin and structural changes in collagen and elastin, create permanent creases

Over time, the brain becomes reliant on nicotine, requiring increasingly higher doses to achieve the same effects, making it extremely difficult for users to quit and often resulting in a cycle of dependence that can dominate a persons life