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Tobacco alternatives are no longer seen as an alternative productthey have become a conscious choice

Retailers are not required to obtain a license to sell tobacco products.6 Retailers and wholesalers are not required to obtain a license to sell e-cigarette products.9 Youth access laws In December 2019, the United States adopted a law raising the federal minimum age of sale of all tobacco products to 21, effective immediately

Lastly, the findings applicability to other countries is constrained by cultural and societal differences that influence tobacco use behaviors, necessitating replication of this analysis in diverse populations for broader validation