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Concerningly, the data also show that among those who use nicotine pouches, over 37% (nearly 2 in 5) youth under age 21 reported using nicotine pouches more than five days in past month, as did 57.8% (3 in 5) young adults

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What adults do is up to them, Bruce said, but 90% of adults with a substance use disorder reported using drugs or alcohol before they turned 18