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This catalyst effect, supported by findings that initial E-cigarette use predicts future smoking and that product initiation correlates with increased susceptibility to other products, means that pouch use might not only establish nicotine dependence but could also serve as a gateway to initiating or maintaining the use of other, potentially more harmful, products like cigarettes or E-cigarettes (30, 31)

Cross Cut A broad cut of pipe tobacco, cut twice to create small squares of tobacco

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The anti-smoking national nonprofit pointed out that there was a 44 percent increase in characters' smoking in the show's second season, with 182 examples in season one and 262 in season two