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Using the 2019 Behavioral Risk Factor Surveillance System Survey, the researchers compared subjective cognitive decline measures for current smokers, recent former smokers and those who had quit years earlier, analyzing more than 136,000 people aged 45 and older

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Other delivery methods, such as chewing tobacco, smokeless tobacco, and e-cigarette systems are slower, but not by much

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An unintended but positive consequence of the COVID-19 pandemic was unprecedented declines in underage alcohol consumption among American teens and student data in 2025 shows no signs of a rebound, indicating a positive and lasting change in behaviors