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( 18 Mansour et al

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"Each day in the United States, more than 2,300 youth under the age of 18 years smoke their first cigarette, and nearly 1,900 youth smoke their first cigar," Gottlieb said

Tobacco Wraps = Nicotine + Lung Exposure Tobacco isnt just a filler, its part of the wrap itself

The use of smokeless tobacco can lead to chronic irritation and inflammation in the airways [103], contributing to the development of respiratory conditions such as large airway inflammation or bronchitis