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While nicotine vapes currently are more popular with 7.1% of high school students and 2.6% of middle school students saying they use nicotine vapes the growth of underage nicotine-pouch users is sparking increasing concerns among health experts, particularly given the known dangers of nicotine to adolescent brain development

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This causes an imbalance in estrogen levels and may lead to irregular bleeding

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Health professionals have the greatest potential of any group in society to promote the reduction of tobacco use

PEP20-07-01-001, NSDUH Series H-55)