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Keller AM, Klosterhalfen S, Kastaun S, et al Heated tobacco product use prevalence and temporal trends among the German population: a se ries of representative cross-sectional household surveys, 20182023 BMJ Open 2025;15:e09461 0

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Instead, they slowly leak a chemical cocktail of highly toxic and carcinogenic substances into soils, waterways, lakes, and the oceans