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Again, the evidence is mixed

tabacum and other species of Nicotiana , and forms the basis of a number of unique tobacco products, as well as typically noncommercial preparations traditionally used in a shamanic, spiritual, or entheogenic context by various Indigenous peoples of the Americas

Because significant changes or errors can have an ongoing impact on a measure beyond a single performance period, we are proposing that the new cost measure exclusion policy at 414.1380(b)(2)(v)(B) allow us to exclude cost measures when such changes and errors occur outside of the performance period, but otherwise affect the performance period

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Unfortunately, among people who use tobacco products, nearly a third (31.4%) report using both cigarettes and e-cigarettes