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Documentation of community service, preferably with a healthcare related organization, is also required

Recent data showed declines in youth tobacco use across most racial/ethnic groups from 2019-2020, with large decreases among non-Hispanic Black students, though flavored tobacco product use increased significantly among non-Hispanic White, Hispanic, and other non-Hispanic groups

In general, the treatments studied were safe, with few severe side effects, though the authors note that not all the RCTs included data on side effects

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