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Once you compare what is actually absorbed rather than what is in the product, it works out closer to a pack of 20

In a landmark study published in The Lancet in 2023, researchers identified four key industries responsible for many of those diseases: tobacco, alcohol, ultraprocessed foods and fossil fuels

Eapen MS, McAlinden K, Tan D, Weston S, Ward C, Muller HK, et al

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It is remarkable, considering that this is the kind of data pattern that has been predicted but not observed at the population level for cessation medication, such as nicotine replacement therapy and varenicline