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These fluctuations can make quitting difficult for those relying on willpower alone

Closer inspection showed open packets with some cigarettes missing

Awareness and ever-trying of e-cigarettes were consistently higher among people with intermediate or higher educational attainment, suggesting that vaping first diffused through higher-SES groups

Some people may also have a genetic predisposition that makes them less responsive to certain medications

Rand became a genuine public phenomenon, particularly on college campuses, where in the 1960s she was as much a part of the cultural landscape as Tolkien, Salinger, or Vonnegut, writes Brian Doherty in Radicals for Capitalism: A Freewheeling History of the Modern American Libertarian Movement