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[updated February 3, 2022, cited 2022 April 22]

The wings must be stretched out before they are ready for flying

The NHANES protocol was approved by the National Center for Health Statistics Research Ethics Review Board, and all participants or their parents provided written informed consent

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1-3 Earlier initiation is associated with a greater likelihood of continued smoking and higher levels of consumption later in life, 1 contributing to increased long-term health harms