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In this study, the causes of deaths were classified according to the International Classification of Diseases, 10th version (ICD-10)

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doi:10.1186/s12889-019-7546-y 31

According to the Dollar General coupon policy, overages cannot be used toward loading gift cards or phone cards or toward buying tobacco products or you guessed it alcohol

In addition, intention to quit smoking was self-reported which may not reflect or lead to actual cessation seeking behavior and may be subject to social desirability response bias

While pouches may reduce exposure to certain toxins found in cigarettes, they still contain nicotine and that matters for all of the reasons weve detailed above