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During this adaptation period, several physiological changes take place: the nervous system gradually rebalances, heart rate becomes more stable, oxygenation progressively improves, sleep begins to regain better quality

STATA 14 was used to generate all tables see Supplementary File 4 for the Checklist for Reporting of Survey Studies (CROSS) checklist to ensure appropriate reporting of our survey results (25)

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Most available data on young adults perceptions and experiences of e-cigarette usage have been conducted in Europe, Canada, and the United States, and little is known about how young people perceive and engage with e-cigarettes in the South African context