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The cost of the actual cigars (and other tobacco products) is the initial and most apparent expenditure

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9,10 The increase in the use of ENDS by youth is more rapid than in adults, with national surveys showing 1% to 5% of adults using ENDS compared to 14% to 16% of high school students

Initiatives such as WIC are extremely important given that obesity during early childhood is associated with sustained overweight or obesity in adolescence or adulthood and that obesity during adolescence can increase the risk of developing cancer later in life