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Conversely, concerning the sustained increase in CSP associated with the COVID-19 pandemic, adolescents with high academic performance notably shifted from a previously declining trend observed across all academic performance levels before the pandemic to a significant increasing trend

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Step 2: Double the number: 2x

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Prof Sanjay Agrawal, a special adviser on tobacco at the Royal College of Physicians, said: Every cigarette smoked costs precious minutes of life, and the cumulative impact is devastating, not only for individuals but also for our healthcare system and economy