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These patterns could have synergistic or independent effects on metabolic syndrome risk, and future analyses should explore these combinations to provide a clearer understanding of the associated risks

E-cigarettes are banned from sale but authorised for use in the following countries: Antigua, Barbuda, Bhutan, Brazil, Brunei Darussalam, Chile, Colombia, Egypt, Ethiopia, Gambia, Hong Kong, India, Iran, Jamaica, Kuwait, Lebanon, Macao, Mauritius, Mexico, Nepal, Oman, Panama, Seychelles, Sri Lanka, Suriname, Timor-Leste, Turkey (see comment below), Turkmenistan, Uganda, Uruguay, Venezuela

Our results advance our understanding of where cigarette butt litter enters the environment, providing the basis for policy at local, state, and federal levels