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As proficiency develops, transitioning to smaller papers will become easier, allowing for more precision and control in the rolling process

Volkow, Wang, Tomasi, & Baler, 2013), once an individual develops skills for health behavior change (e.g., recognizing triggers and cues, managing urges, problem-solving), these skills may generalize and facilitate making other changes

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Nationally, smokeless tobacco use prevalence among high school students was 2.5%.2 In 2021, 3.6% of high school students in Georgia smoked cigars, cigarillos or little cigars on at least one day in the past 30 days