00:00We've seen an increasing number of especially young people who are concerned about the amount
00:05that they are reliant on vapes to get through the day. At the moment it's really difficult
00:10to get statistics on exactly how many people come in but I'd have at least one a week who
00:16approaches us to talk about cutting down their vape use and most of the time this started because
00:21they were using flavoured vapes unaware that they had nicotine in them and over time they've
00:26developed nicotine dependence. So even today I had a patient in who was talking about how his
00:31daughter was vaping and said oh it's all right there's no nicotine in them and have no understanding
00:36that the products that his daughter's consuming probably do contain nicotine. The big one is
00:41craving and withdrawal symptoms so feeling agitated and irritated when they're due for
00:47their next hit of nicotine but the other side effects that we're seeing a lot of so if you
00:52check someone's blood pressure after they've had a vape you'll notice that their heart rate
00:56is higher, their blood pressure is higher which indicates that it's having an effect
01:00on the cardiovascular system. I've also had patients experiencing severe abdominal pain
01:05so some of which have gone to the emergency department multiple times over the last 12 months
01:09as soon as they quit vaping their abdominal pain symptoms disappeared.
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