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In this world, balance becomes elusive

Its international success also helped establish American cigarette branding as a benchmark for tobacco marketing across multiple countries

And her story is even bigger than cigarettes

Reynolds et al., 2004

This catalyst effect, supported by findings that initial E-cigarette use predicts future smoking and that product initiation correlates with increased susceptibility to other products, means that pouch use might not only establish nicotine dependence but could also serve as a gateway to initiating or maintaining the use of other, potentially more harmful, products like cigarettes or E-cigarettes (30, 31)

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