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Adolescents from lower-income households or deprived neighbourhoods often report higher rates of both smoking and vaping, raising concerns about the clustering of health-risk behaviours in disadvantaged settings [56, 57]

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Products utilizing synthetic nicotine, such as many modern nicotine pouches, are formulated to deliver a consistent and predictable nicotine experience with up to 99.9% purity , which has significant implications for both product quality and regulatory positioning

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