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Reviewed January 2026 Speak with a doctor for up-to-date and personalised medical advice.

However, as the times changed, tobacco has become increasingly commoditized

Sita pointed to California and Massachusetts as examples, and said his organization has proposed a uniform taxing system on all nicotine products based on their wholesale value, comparable to the existing cigarette tax

Firstly, most systematic reviews in this field have focused on "downstream" measures aimed at changing individual smoking behaviour an illustration of an "inverse evidence" law whereby we know least about the effects of interventions most likely to influence the health of the largest number of people [46, 47]