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and 6) exhaled CO 15 parts per million (ppm), a threshold based on previous research examining the acute effects of tobacco withdrawal to identify smokers with higher cigarette consumption, validated by Bedfont piCO+ TM Smokerlyzer 6,20

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Nationally, adult e-cigarette use prevalence was 7.7%1 In 2022, 2.6% of adults in Michigan used smokeless tobacco every day or some days

The incidence rate of metabolic syndrome among never EVC users was 336.1/100000 PMs, and the incidence rate among never HTP users was 325.7/100000 PMs, higher than the incidence rate among never smokers of conventional cigarettes (253.8/100000 PMs), likely reflecting dual use