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In the 2023 National Youth Tobacco Survey, about 310,000 middle and high school students reported having used oral nicotine products within the last 30 days [2]

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Recent solid science underlies these estimates In 2015, a respected group of researchers in Lyon, France combined the results of 86 studies on breast cancer and tobacco smoke to demonstrate that active smoking was related to a 9% increase in risk for breast cancer and that passive smoking resulted in a 20% increase in risk

Shahab L, Brown J, Boelen L, Beard E, West R, Munaf M R