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Data from the Monitoring the Future study also shows that the number of youth who report ever using nicotine pouches nearly doubled from 2023 to 2024, and co-use of both nicotine pouches and e-cigarettes also increased during this time

The researchers compared two major cigarette brands: Pall Mall, marketed as a discount brand, and Natural American Spirit, a super-premium brand that features a pro-environment marketing campaign the first-ever corporate social responsibility advertising on cigarette packaging

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