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Measurements Primary reason for continuing to use ENDS Participants were asked to select one reason as the primary reason for continuing to use ENDS from options: To quit smoking, To cut down smoking, To use when Im not allowed to smoke, Absence of smell, Because I enjoy the flavor, Because I enjoy the boost, Curiosity/Just want to try them, Because I am addicted, and Some other reason (including stress, anxiety, depression, or other mental health concerns, etc.)

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Symptoms include: white patches on the tongue, lips, and mouth red and white sores, known as chancres, on the tongue or lips firm, raised lesions in the mouth Treatment Syphilis requires medical treatment with the antibiotic penicillin