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(2021 Monitoring the Future) Youth are more likely to use a flavored cigar the first time they try a cigar

The plant itself is a natural agricultural product, but its chemical effect on the body puts it in the same functional category as other commonly used stimulants like caffeine and alcohol, both of which alter mood, alertness, and behavior

Common pharmacological options include: Nicotine replacement therapy (NRT): Products like patches, gum, lozenges, and nasal sprays deliver controlled doses of nicotine, easing withdrawal symptoms while avoiding harmful tobacco chemicals

R package regmedint: Extension of regression-based causal mediation analysis with effect measure modification by covariates (2022)

S., Thornton, L