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However, more than 2 million middle and high school students still reported using e-cigarettes in 2021 (90)

Containing MST in tea bag-like sachets overcame what USSTs smoker focus groups identified as the top barriers deterring them from continuing traditional MST use after receiving free samples: (1) the messiness of float (strands of tobacco in the mouth), (2) the lipburn from tobacco sitting directly on the gum and lip, and (3) user anxiety over ascertaining the optimal size of pinch [22]

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Smoking causes 84% of deaths from lung cancer and 83% of deaths from chronic obstructive pulmonary disease (COPD)

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