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These are hypotheses, not treatment strategies

Inspectors and investigators are routinely encountering or seizing menthol cigarettes, originally purchased in surrounding states, and flavored (Electronic Nicotine Delivery System) products and cigars purchased from unlicensed distributors operating both within and outside the Commonwealth, the Illegal Tobacco Task Force Annual Report for 2023 reads, in part

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The worlds biggest cigar: weighing 1,600 pounds with a ring gauge of 1,920