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1In 1997 (the lastest year for which data were available at time of publication), the Youth Risk Behavior Survey estimated that approximately 17,000 West Virginia students in grades 9-12 were regular cigarette smokers

On one cigar, creaminess and pretzels eventually add themselves to the mixture, though neither hold a candle to the charred earthiness

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Zeller, these factors collectively contribute to the complexity of tobacco addiction, making it a multifaceted issue