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Author contributions EB: Conceptualization, Writing original draft, Writing review & editing

Teratogens are usually discovered after an increased prevalence of a particular birth defect

But its not clear whether snus is responsible

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But allowing future generations to become addicted to nicotine in order to preserve tobacco revenue fails the red-face test as an argument against Tobacco 21. If a federal law raising the legal age of purchasing cigarettes were implemented today, the Institute of Medicine estimates that would result in 249,000 fewer premature deaths, 45,000 fewer deaths from lung cancer, and 4.2 million fewer lost-life years among Americans born between 2010 and 2019