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Reviewed January 2026 Speak with a doctor for up-to-date and personalised medical advice.

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In practice, a major difficulty is knowing how to place values on externalities

Current Trends in North Dakota 6.3% of North Dakota 7th graders reported using a nicotine product in the past 30 days (YRBS 2023), higher than the national average of 5.4% (2024 Youth Tobacco Survey)