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Nicotine exposure during adolescence disrupts neurodevelopment, particularly in brain regions responsible for executive function, working memory, learning, and impulse control, and has been associated with mood disorders and impaired behavioral regulation 6

Nationally, the smokeless tobacco use prevalence among high school students was 2.5%.2 In 2021, 2.8% of high school students in North Dakota smoked cigars, cigarillos or little cigars on at least one day in the past 30 days

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