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Growth of Smokeless Tobacco and Alternative Nicotine Products As cigarette volumes decline, smokeless tobacco, nicotine pouches, and vaping products are becoming central to tobacco retail growth

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Use of nicotine replacement therapies and electronic cigarettes No participant was using nicotine replacement therapy (NRT) or electronic cigarettes (EC) at the time of inclusion, and none had initiated a quit attempt prior to starting the program

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Author contributions WH and WX were involved in conception and design, performance of experiments, and composition of this manuscript