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If we dont start correcting public perceptions on nicotine, we could have a situation where someone would think that a cigarette with very low nicotine is going to be less harmful to them than a nicotine pouch, said Hartmann-Boyce

The basic findings from this study were confirmed by work from Wu and colleagues (2005), who examined combined levels of NNN and NNK in the mainstream smoke from cigarettes from the same 13 countries and also found a wide variation in this matrix

Future longitudinal and multi-site studies with larger samples are needed to confirm these preliminary findings and to examine whether the patterns observed here extend to broader international student populations.

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