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Pre-publication history The pre-publication history for this paper can be accessed here: Acknowledgements The authors would like to acknowledge the contribution of Dr Chung-won Lee from the Centers for Disease Control and Prevention who allowed us to use the cohort selection methodology she developed [9], and who provided valuable feedback on the manuscript

This differential pattern has the potential to exacerbate existing health disparities and we need to do better here

It ranks last because flavour is one of the main reasons people choose nicotine pouches over patches or gum