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It shows that: (1) most adolescent vaping is infrequent, (2) that frequent use and nicotine dependence among tobacco-nave users is rare, and (3) most frequent use is concentrated in those who have previously used tobacco.[25] [26] Despite the rise in adolescent e-cigarette use, there has not been an increase in nicotine dependence.[27] The United States has seen an abnormally rapid decline in teenage smoking coinciding with the uptake of vaping.[28] [29] Some young people use ENDS to quit cigarette smoking or as an alternative to cigarettes