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The average age in which boys take their first drag has dropped from 15 in the 1990s to 11 in the 2000s

In some ways, nicotine pouches are less like smokeless tobacco products and more like nicotine gum and lozenges, which are formulated to help people stop smoking

It also changes the way people smoke them, says Michael Fiore, M.D., M.P.H., the director of the University of Wisconsin Center for Tobacco Research and Intervention, who was not involved in the new review

Our data do not include purchases at convenience stores and so there may be concern that the decline in cigarette purchases we measure partially reflects a shift towards greater purchasing at corner shops and less purchasing at grocery stores

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