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Most recently, the total monthly nicotine pouch sales increased by 207% between January 2023 and April 2025, from $145.5 million to $446.8 million

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This shift mirrors a broader movement across wellness and consumer goods

Participants who migrated for more times (Beta = 2.062, 95% CI: -3.495-0.630 for at least four times migration, and Beta = 0.937, 95% CI: -2.158-0.283 for two to three times migration) tended to report lower knowledge scores (Table 6)

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Since 2019, the smoking age in Wisconsin has been 21 under federal law