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There are pairs of works, signifying left and right hands laboring, and the making and unmaking of meaning

3 In 2020, 2.6% of adults in Utah used smokeless tobacco.3 In 2019, 9.7% of high school students in Utah used electronic vapor products on at least one day in the past 30 days

However, in recent years there has been a significant increase of e-cigarette use in younger individuals without a prior smoking history in the US

Second, we did not apply additional pleiotropy-robust methods such as MR-PRESSO, which could help identify and correct for potential outlier variants, and thus we cannot completely rule out the presence of residual horizontal pleiotropy