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To measure illicit markets in cigarettes, we built a statistical model that compares a states smoking rates with the legal paid sales of cigarettes

6/10 Thanks for the great reviews everyone

This system certainly wasnt perfect

Many patients do not consider vaping, nicotine pouches, or other non-tobacco nicotine products to be tobacco use, so these exposures may go unrecognized unless we ask specifically. Clinician counseling on non-tobacco nicotine use should reflect that nicotine itself not just cigarettes can contribute to adverse pregnancy outcomes

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These conversations provide first-hand, current insight that published sources alone cannot offer