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Addington, J., el-Guebaly, N., Campbell, W., Hodgins, D

mental health including perceived stress measured using the 4-item Perceived Stress Scale (PSS-4) 28 , possible major depressive disorder using the Patient Health Questionnaire-2 (PHQ-2) 29 , and possible generalized anxiety disorder using the General Anxiety Disorders-2 (GAD-2) 30

Next Steps: Validate flavor preferences among younger demographics (e.g., vanilla, coffee, and fruit blends are trending)

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Or at least send it back for more work, lest they risk jeopardizing, for little discernible community or health benefit, the livelihoods of convenience store owners and other merchants who now count on tobacco sales to stay in business