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The Centers for Disease Control has also reported that 4.9 million middle- and high-school students have reported using a tobacco product within the past 30 days, up from 1.3 million users in 2017

[DOI] [PubMed] [Google Scholar] Vale W, Spiess J, Rivier C, Rivier J

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Moreover, there is increasing evidence that, despite a range of genetic risks for addiction across the population, exposure to sufficiently high doses of a drug for long periods of time can transform someone who has relatively lower genetic loading into an addict

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See our full report Eliminating smoking disparities in Tobacco Nation. Low taxes in Tobacco Nation make cigarettes cheapest in the nation Cigarettes are cheaper in Tobacco Nation states than they are in the rest of the U.S