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LETTER TO THE EDITOR The Indian ban on loose cigarettes More details Hide details 1 Department Community Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India 2 Tobacco Free Initiative, World Health Organization Regional Office for South-East Asia, New Delhi, India 3 Department of Community Medicine, Institute of Medical Sciences and Sum Hospital, Sikhsha O Anusandhan University, Bhubaneswar, India 4 School of Public Health, Kalinga Institute of Industrial Technology, Bhubaneswar, India Submission date: 2023-08-28 Final revision date: 2023-09-14 Acceptance date: 2023-09-18 Publication date: 2023-11-09 Corresponding author Pratap K

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Purpose: Both recreational and medicinal purposes Date Submitted: August 17, 2021 United States of America | 18 to 24 Year Old Female (Using for 7-12 months) headaches sometimes, brain fog 100%!!!!!!, irritability, impatience, sadness, fatigue all the time Habit: Half a gram a day Brain Fog Experienced: All day Activities Disrupted: Schoolwork Timing of Symptoms: right when i stopped Purpose: Both recreational and medicinal purposes Date Submitted: August 16, 2021 Australia | 25 to 34 Year Old Male (Using for 6-10 years) Apathy, sadness, avoidance, obsessiveness, difficulty focusing Habit: 5 grams a day Brain Fog Experienced: Most of the day Activities Disrupted: Work motivation Timing of Symptoms: In the days after stopping use Purpose: Both recreational and medicinal purposes Date Submitted: August 16, 2021 | 35 to 44 Year Old Male (Using for ) Lack of concerntration Insomnia Brain Fog Experienced: A few hours each day Activities Disrupted: None of the above Timing of Symptoms: 5 days after stopping Purpose: Both recreational and medicinal purposes Date Submitted: August 16, 2021 | 35 to 44 Year Old Male (Using for ) Lack of concerntration Insomnia Brain Fog Experienced: A few hours each day Activities Disrupted: None of the above Timing of Symptoms: 5 days after stopping Purpose: Both recreational and medicinal purposes Date Submitted: August 16, 2021 United States of America | 25 to 34 Year Old Male (Using for 1-2 years) Heavy head , slow responses Habit: 5-2 grams a day Brain Fog Experienced: Most of the day Activities Disrupted: Work productivity Timing of Symptoms: Purpose: Both recreational and medicinal purposes Date Submitted: August 13, 2021 United States of America | 18 to 24 Year Old Male (Using for 3-5 years) mental fog and increased distress Habit: I used to smoke 3-6 times a day Brain Fog Experienced: A few hours each day Activities Disrupted: Work productivity Timing of Symptoms: 1-3 days after quiting Purpose: Recreational purposes only Date Submitted: August 13, 2021 United States of America | 25 to 34 Year Old Female (Using for 11+ years) Head fog, depression, irritability, lethargy, excessive sleeping, confusion, a feeling of being lost, verbal memory loss, forgetfulness

Step 2-4 Glue the cotton piece with the surface material