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It took more than 7,000 scientific studies and the death of countless smokers before the first Surgeon Generals report against smoking was released in the 1960s

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However, less than one-half of teenagers say their doctors have ever asked them if they smoke (even though most teen smokers said they would admit to smoking if asked) or given them counseling on how to quit

The scarcity in the US market is primarily due to: Strict FDA Regulations: All tobacco products sold in the US must meet specific labeling and ingredient listing requirements