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To regulate these purchases, the researchers suggest routine surveillance of online retailers that may identify opportunities to strengthen the implementation of existing public health laws designed to reduce sales of tobacco products to individuals aged 20 years or younger. There is a federal law that very clearly states that USPS cannot be used to ship tobacco products but it is clearly still being used frequently, Harati said

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They can disrupt the oral microbiome (the community of microorganisms in the mouth) and reduce saliva production

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