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"Consumption from illicit sources, as a share of total tobacco consumed, rose from 12 per cent in 2017 to 80 per cent in 2025." The experimental estimates are based on "nicotine metabolite concentrations" detected in wastewater samples, combined with data showing a collapse in household spending on legal cigarettes and vapes

, MD, is a board-certified dermatologist and Mohs micrographic surgeon at the Zain Husain New Jersey Dermatology and Aesthetics Center in Marlboro, NJ who specializes in skin cancer surgery

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You could lose motivation for work, gym, and other activities without a nicotine fix