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We should be targeting this high-risk group for cigarette use prevention and intervention. This work was funded by The Ohio State University Institute for Population Research through a grant from the Eunice Kennedy Shriver National Institute of Child Health and Human Development

doi: 10.33679/rfn.v1i1.2060 75 HemmateenejadB.AbbaspourA.MaghamiH.MiriR.PanjehshahinM

Early Physical Improvements While experiences vary, many people report noticing positive changes quickly: Reduced coughing or throat irritation Improved circulation over time Enhanced taste and smell Increased energy levels These tangible physical benefits and improved health naturally reinforce motivation

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While consumption remains largely unchanged, consumers get pushed to illicit markets that often have more dangerous products and prop up sophisticated organized criminal enterprises supplying their demand