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Due to flavor bans, rising excise taxes, and regional product restrictions, some consumers turn to unregulated or black-market vapes

Participants consistently highlighted attributes such as: Authenticity A peer navigator is someone who is going through the same thing

Dual users were also more likely to have a history of arrhythmia (17.8 percent) compared to cigarette-only users (14.2 percent)

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This combined effect, weakened LES tone and slower acid clearance, creates a cycle of irritation and inflammation that can make GERD more stubborn and challenging to control