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While research shows differences in harm profiles, neither product is considered safe and both are restricted to adults 21+ under federal law

[104] David Ashenfelter, "Man admits to funding terror with Interstate cigarette-smuggling ring," Detroit Free Press Sept

Barretts Esophagus Barretts esophagus occurs when long-term acid exposure changes the lining of the esophagus

see Royal College of Physicians, Smoking and health 2021, A Coming of Age for Tobacco Control? May 2021, 13, [32] United States Government Accountability Office, Tobacco Taxes: Market Shifts toward Lower-Taxed Products Continue to Reduce Federal Revenue , June 2019,

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