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A Colorado retailer cannot sell or permit the sale of cigarettes, tobacco or nicotine products to anyone younger than 21 years old per the Nicotine Product Regulation law finalized in July 2020

We included the leading causes of mortality identified by the Centers for Disease Control and Prevention (CDC) [31], although some are not generally associated with tobacco use (e.g., accidents), as well as other selected major mortality causes attributed to tobacco use (Table 1)

They found the level of cotinine, which is a marker for nicotine exposure, was 0.043 nanograms/milliliter (ng/ml) in nonsmokers, compared to about 180 ng/ml among smokeless tobacco users, about 131 ng/ml among cigarette users and about 184 ng/ml among people who used both smokeless tobacco and cigarettes

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If the arbitration ruling is upheld, the loss of funding will have an extremely negative impact on tobacco prevention, cessation, research and other programs in these states