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Brennan cited state public health survey data showing that about 37 percent of smokers reported using menthol cigarettes in 2022 roughly the same proportion as in 2019, suggesting people are crossing state lines or purchasing such cigarettes illegally

In 2019, after years of regulatory debate, the Food and Drug Administration permitted the sale of IQOS, and in July 2020, the agency gave PMI the green light to market the product with the claim that it reduces a user's exposure to harmful or potentially harmful chemicals, but importantly did not authorize the claim that it reduces health risks associated with cigarette smoking

They are often loaded with tons of sugar resulting in the consumption of empty calories and weight gain