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"People are always searching for that needle in the haystack," Ivy said

And even when tobacco wasnt present in a product, non-tobacco-flavors seemed less dangerous than tobacco-flavored products

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A 2022 analysis led by researchers at the University of Sierra Leone found that an average of 19% of adolescents aged from 11 to 17 in 22 African countries reported using tobacco products 4

Physiologic and subjective changes from smokeless tobacco withdrawal

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