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Smoking is generally frowned upon by the Amish community, and there is a growing movement to discourage it

By June or July, workers begin topping (breaking off large flowers that sprout at the tops of tobacco plants) and removing suckers (nuisance leaves that reduce the yield and quality of tobacco)

The history of TRV dates back to the late 1890s in Germany, when the Mauche disease was first reported on tobacco [5]

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I think we need more evidence on whether nicotine pouches promote long-term, sustained product switching and that they actually reduce the harm from tobacco, she says