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If irritation persists or worsens, it is recommended to stop use and have the area evaluated to rule out more serious conditions

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[18] Because they're refillable and the battery is rechargeable, their cost of operation is lower

Previous studies have indicated a rising prevalence of RYO tobacco use in many HICs, such as the USA, UK, France, and Germany 18-20

These issues warrant further examination and need to be respectfully considered in light of the complex political and economic realities facing American Indian tribes.7 61 The tobacco industry utilised American Indian history, culture and images for marketing and commodified a culture and people deeply connected to traditional tobacco, but also disproportionately impacted by the harms of commercial tobacco use.14 Our findings underscore the need to counter tobacco industry influence as part of a comprehensive approach to addressing commercial tobacco use, by monitoring tactics that misrepresent culture and co-opt tradition

Use nicotine replacement therapy if necessary