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All participants were age 59 to age 82 at the start of the study

Excise taxes are commonly levied on cigarettes, alcoholic beverages, soda, gasoline, insurance premiums, amusement activities, and betting, and typically make up a relatively small and volatile portion of state and local and, to a lesser extent, federal tax collections

In practice, the most successful quitters use a combination approach: nicotine pouches for strong cravings, energy pouches during work hours, and herbal snuff or seeds for idle moments