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Persistent Disparities Identified: The report highlights significant disparities in tobacco use and health outcomes by race, ethnicity, income, education, gender identity, occupation, geography, and behavioral health status

Sleep patterns may begin to stabilize, and energy levels often improve

Dual use status was trichotomized as predominant smoking (if reported smoking every day and using e-cigarettes some days), equivalent use (smoking and using e-cigarettes every day, or smoking and using e-cigarettes some days), and predominant e-cigarette use (smoking some days and using e-cigarettes every day)

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Sales of heat-not-burn and e-cigarettes in Japan therefore have been very limited