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Key in this targeted marketing are single-sale cigars in shiny packaging that appeals to youth, flavors that please their palates and prices that are within their budgets, according to Keithly

This lack of proactive engagement can stem from various factors, including time constraints, insufficient training in smoking cessation counseling, and a focus on other prominent risk factors for liver disease

In a recent study in Austria by Schlappack et al

Gamma-glutamyl transferase tests measure levels of enzymes that indicate liver disease

The past two years have shown more stratification, with a 10pp difference between Q2 and Q1 in 2024 and a 12pp difference between Q1 and Q4 in 2025