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In North Dakota, R.J

Even small amounts can lead to discomfort and coughing

For starters, tobacco use causes more plaque and tartar buildup

Using smokeless tobacco is a known cause of cancer, and the rise of new nicotine products, such as oral nicotine pouches and products containing synthetic or non-tobacco-derived nicotine, present emerging health risks

A pop star in flared jeans, a party in your neighbourhood blasting Y2K rave tracks or an overheard slice of 90s slang at your coffee shop are all reminders that the ways we interact, and the symbols we use to define ourselves, are so often repurposed nuggets of yesteryear

Additionally, the number of neighborhoods with 3 or more retailers selling these cigars per 100 youth residents decreased from 12 stores to 3, reducing neighborhood-level disparities in retail availability