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The IOM report recommends requiring state licensing of all retail outlets that sell tobacco products to verify the age of purchasers, including banning the use of self-service displays and vending machines, restricting direct access to tobacco products, and selling products only in a face-to-face exchange (Bonnie et al

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This significantly increases the risk of developing musculoskeletal disorders (MSDs), both acute and chronic, due to the repetitive postures and strenuous physical effort involved 15,16

Nicotine patches are convenient, easy to use, and work in combination with NRTs