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The shocking decline that can follow an awesome ascent

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In contrast, lower-SES people who smoke are more likely to engage in dual use, continuing to smoke while also using e-cigarettes, potentially due to limited access to cessation support, greater nicotine dependence, or uncertainty about the health benefits of switching [32, 40]

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Online channels accounted for approximately 31.5% of total non tobacco nicotine sales in 2025, a share that is projected to surpass 40% by 2034 as mobile commerce infrastructure deepens across emerging markets