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John Puls, a psychotherapist and addiction specialist who runs Full Life Comprehensive Care in Boca Raton, Florida, said the trend away from cigarettes but continued use of tobacco and e-cigarettes mirrors what he sees with patients

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Nationally, the rate was 32.7%.2 In 2019, 2.5% of high school students in Arizona used chewing tobacco, snuff or dip on at least one day in the past 30 days