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Tobacco proved to be a popular recreation for many in the state and was used in several different forms, including snorting a fine powder as snuff, smoking a pipe or cigar, or using orally through dipping or chewing tobacco

Karabin, who has a private practice on the Upper East Side and is not involved in the citys ad campaign, added, Unfortunately, I think it does take scare tactics to get people to stop smoking.

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While these products are designed for smokers and ex smokers, there is concern about marketing to non smokers, especially young adults, which has prompted ongoing discussions about responsible advertising and product placement