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The problem was compounded by the fact that adjacent states did not tax cigars, so Michigan residents who lived near the border often purchased them in neighboring states, sometimes sidestepping Michigan's tobacco products use tax during the shopping trips

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Treatment approaches are generally supportive and symptomatic, with an emphasis on ensuring patient safety, providing hydration, and managing anxiety or panic symptoms in the acute setting

The median age of patients at diagnosis of UC and CD was 42 and 27 years, respectively