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Extracted data included: first author, year of publication, sample size, study design, exposure classification, outcome type, adjusted confounding factors, and main findings

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Abstract The rapid rise in nicotine pouch use among teens and young adults signals a shift in nicotine consumption with significant public health implications

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That probably marks the high end of what a bootlegger could expect as most Maryland smokers would shift to making cross-state cigarette buying trips themselves, but in either case, that's a lot of revenue that Maryland's cigarette vendors and state government aren't going to get unless they go out of their way to target these individuals