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Strengths above 20mg (Pablo, Siberia, CUBA Black) are marketed as niche ultra-strong products and carry higher risk of adverse effects for users without very high pre-existing tolerance

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Advanced manufacturing technologies use improved flavor formulations and nicotine content standardization and portion-controlled packaging to create better product quality and enhance consumer experience

Co-authored by Trudi Griffin, LPC, MS This article was co-authored by Trudi Griffin, LPC, MS

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