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Dual- and polytobacco/nicotine product use trends in a national sample of high school students

In North America, certain Indigenous peoples practice the ritual burning of bundled herbs, commonly called smudging . The smoke represented transformation, serving as a visible reminder of change and renewal

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Though e-cigarettes have sometimes been framed as a healthier alternative to traditional cigarettes, e-cigarette use among youth and young adults is a concern because, while users do not experience the harmful effects of smoke, most e-cigarettes do contain nicotine