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To address this, we used urinary creatinine to normalize our data

doi: 10.1016/j.pan.2015.09.002

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Misrepresentation of Age by a Minor Any form of misrepresentation of age by a minor with the intent of claiming to be 21 years of age or older, including the use of a fake ID, to purchase tobacco is a criminal offense

Many of these sales can be attributed to an oral nicotine pouch brand called Zyn: research published in Substance Use and Addiction found that Zyn led the overall unit share among brands in the United States from 2019 to 2022, a time when unit sales of oral nicotine pouches increased more than six-fold from 126.06 million units from August to December 2019 to 808.14 million units from January to March 2022