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"New York has the highest inbound smuggling activity, with an estimated 54.3 percent of cigarettes consumed in the state deriving from smuggled sources in 2022," note Hoffer and Macumber-Rosin

doi: 10.1136/bmj.38142.554479.AE 12 DollRPetoRWheatleyKGrayRSutherlandI

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Research using PET imaging on smokers after overnight abstinence found that nicotine specifically reduced blood flow in the right amygdala while increasing flow to the thalamus, demonstrating how nicotine creates uneven cerebral circulation patterns

Next, we used adjusted logistic regression models to examine the odds of neurodevelopmental delay (defined as a score of 85) in PTE-exposed compared to unexposed participants 14