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Nearly 81% of youth ages 12 to 17 who had ever used a tobacco product reported that the first product they used was flavored, including: 88.7% of ever hookah users, 81.2% of ever snus pouch users, 81.0% of ever e-cigarette users, 68.9% of ever smokeless tobacco users, 65.4% of ever users of any cigar type, and 50.1% of ever cigarette smokers

The National Cancer Institute (NCI) defines a psychoactive substance as one that alters how the brain functions and causes changes in mood, awareness, thoughts, feelings, or behavior. LSD, alcohol, and caffeine are more examples of psychoactive drugs

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