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In 2024, 1 out of every 29 middle school students (3.5%) reported that they had used electronic cigarettes in the past 30 days.6 In 2024, 1 of every 13 high school students (7.8%) reported that they had used electronic cigarettes in the past 30 days.6 Nicotine pouches In 2024, 1 of every 100 middle school students (1.0%) and 1 of every 42 high school students (2.4%) reported using nicotine pouches in the past 30 days.6 Nicotine pouches are microfiber pouches with flavored nicotine powder that users dissolve in the mouth without spitting

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For evidence synthesis, the included studies were categorized based on their reported outcomes

It comprises a gold rod, surmounted by an enamelled heart-shaped structure which holds the Cullinan I diamond

According to the NHS, every cigarette smoked contains more than 4,000 chemicals that can harm an unborn baby