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Disclosures The author is a member of a speakers' bureau or advisory board for Astra Zeneca, Behring, Boehringer Ingelheim, Covis, Cipla, GSK, Novartis, Pfizer, Purdue, Sanofi, Spectrum, Teva, Trudel

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There are also tobacco-free pouches available for oral use that contain safe and natural ingredients, such as mint and coffee

The study comes as at least five states ready to vote on whether to legalize marijuana for recreational purposes, including California, which is considered a linchpin in the campaign for federal legalization

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