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Add in healthcare costs and missed income from tobacco or alcohol-related illnesses, and the numbers only grow

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Therefore, it is concerning that 5.2 million high school students and 1.34 million middle school students in the United States used some type of tobacco product in 2021 (218)Gentzke AS, Wang TW, Cornelius M, Park-Lee E, Ren C, Sawdey MD, et al