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BYRD WARWICK DAVENPORT, Richmond MRS

When a federation member asked officials who had paid for the ad he was told, "don't ask"

This catalyst effect, supported by findings that initial E-cigarette use predicts future smoking and that product initiation correlates with increased susceptibility to other products, means that pouch use might not only establish nicotine dependence but could also serve as a gateway to initiating or maintaining the use of other, potentially more harmful, products like cigarettes or E-cigarettes (30, 31)