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Cigarettes, vapes, dip, snus many "old school" avenues for enjoying nicotine remain popular

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Tobacco and vaping stores tend to move to low-income areas, market much more heavily to these communities, and get these populations addicted to cigarettes at much higher rates

Given such misperceptions, it would not be surprising to find lower rates of switching or more dual use than would be desirable

Several studies have also suggested that nicotine is potentially carcinogenic (reviewed in [41]), but more work is needed to prove its carcinogenicity independently of the combustion products of tobacco [47]