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A Changing Landscape Tobacco use is the leading preventable cause of death and disease in the United States, and public health policies have been implemented to help eliminate both tobacco use and exposure to secondhand smoke

A 65% wholesale tax significantly raises costs, and age verification is enforced with electronic systems to comply with federal law

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The blend is crafted to cater to the palates of both traditional smokers and vaping enthusiasts

Otherwise, we used the Joanna Briggs Institute (JBI) critical appraisal tool for analytical cross-sectional studies 11