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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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If the cigarette pack was full, it could represent fullness or untapped potential

Additionally, frequent coughing associated with smoking can lead to pelvic floor disorders, which may cause incomplete bladder emptying and increase the risk of UTIs

It is 115 years old