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These emerging patterns of multiple nicotine product use may expose users to high nicotine levels that promote addiction and make it harder for them to quit smoking altogether 24,26

Cigarette smoking is associated with higher triglycerides and lower HDL levels, but nicotine replacement therapy does not affect triglycerides levels and results on HDL levels are conflicting [34]

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Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2012 [accessed 2016 Aug 26]

Trade associations were most active in the alcohol industry (43% of total expenditure), followed by UPF associations (32%), gambling (14%), and tobacco (5%) (Figure 1)

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