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After declining significantly during the COVID-19 pandemic, substance use among American youth has continued to hold steady at lowered levels for the fifth year in a row, including record low levels in underage drinking

Conclusion 2-5: There is strongly suggestive evidence that the inhalation patterns of cigar smokers in general significantly affect their exposure to nicotine and harmful and potentially harmful constituents

This applies to all tobacco products, including cigars, cigarettes, pipe tobacco, and as of recent regulatory updates e-cigarettes and vaping products

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