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A consistent pattern emerges as they acclimate to fresh water in preparation for spawning

Seek medical evaluation if you notice worsening symptoms like changes in sensation, loss of muscle strength, or balance issues

Given the limited data available on the long-term health risk of VNP, we will model a range of plausible scenarios based on varying numbers of long-term users informed by those still using VNP at the end of follow-up and percentage reductions in smoking-related disease risk