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Cigarette butts have been the number one item collected by the Washington DC-based Ocean Conservancys global beach clean-ups every year since the initiative started in 1986

Teens and younger sometimes use two pouches at a time to get their nicotine fix

The data backs this up, and as a result, Congress prohibited the use of most characterizing flavors in cigarettes, Gottlieb said in a statement

After reviewing 78 completed studies, including 40 randomized controlled trials, representing 22,052 participants, researchers found high-certainty evidence that e-cigarettes with nicotine increased quit rates compared to nicotine replacement therapy and that they were also more effective than other cessation methods

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