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The Massachusetts Supreme Judicial Court sided with Brookline, noting that cities and towns have a lengthy history of regulating tobacco products to curb the well-known, adverse health effects of tobacco use. Importantly, state laws and local ordinances and bylaws can and often do exist side by side, the court added

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"The shift probably is not the sole reason, but fast-forward to today and you see a company like Juul whats happening on social media, youth use and it does not take a huge leap

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88 There were similar rates of smoking pre- and posttransplant, with the number of active smokers who quit following orthotopic LT offset by the number of former smokers who restarted smoking postorthotopic LT