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Effective January 1, 2026, Washington state will apply its tobacco products tax to all nicotine-containing items, including synthetic nicotine, vapes, and pouches

Lead author Dr Sarah Jackson, from the UCL Institute of Epidemiology and Health Care, said: Our study shows a sharp increase in the use of high-strength nicotine e-liquids in England since 2021

Each participant was told to smoke one or two cigarettes whenever they wanted while under observation, and they werent allowed to use any nicotine patches or medications during the study

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