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Theres also an annual adjustment of excise duty rates linked to the Consumer Price Index

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"Some may also have moved to cheaper hand-rolled cigarettes - a trend that was most pronounced among less advantaged female smokers, 68% of whom rolled their own cigarettes by 2023." 'Devastating harm' The proportion of women under 45 vaping rose from 5% to 20% - with a similar increase in men of the same age

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When there is less blood flow to the gut and intestines, symptoms of nausea and vomiting are reduced, adds Glatter