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Even more concerning, many of the new pouch brands are owned by the same large tobacco corporations that once dominated the smokeless market

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While Alabama, Alaska, New Jersey and Utah already have laws setting the legal age to buy and use tobacco at 19 years old, other states with legal age bills still pending include California (age 21), Massachusetts (age 21), New Jersey (age 21), New York (age 21), Vermont (age 21) and Washington (age 19)

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A modern hookah typically consists of a head, metal body, water bowl, and a flexible hose with a mouthpiece

Tobacco smoking after diagnosis of cancer: clinical aspects