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These Vyvanse effects can be more exaggerated if use is combined with other drugs that too have effects modulating the levels of the abovementioned neurotransmitters or with drugs that inhibit the hepatic metabolism of Dextroamphetamine, the active ingredient in Lisdexamfetamine, causing higher circulating levels of the medication available for stimulant effects

It also contains more nicotine and tar

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Instead, they use e-liquids made with nicotine derived from tobacco or synthetic nicotine