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In order to reach out to tech-savvy consumers, brands are portraying e-cigarettes and nicotine pouches as lifestyle items and leveraging social media influencers and stylish advertising

Discussion The methodology described in this paper aims to diminish the growing gap between two prevailing paradigms in medicine evidence-based practice and community-sensitive care by creating a dynamic process that integrates the best research evidence with community values to create recommendations that will be widely adopted by the population and will achieve the best outcomes

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Nationally, the rate was 8.8% in 2017.2,3 Other tobacco product use: Minnesota Vaping rates in Minnesota In 2018, 5.0% of adults in Minnesota used e-cigarettes