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Adverse effects include, but are not limited to, headaches, feeling tired or dizzy, confusion, fast heart rate (tachycardia), abnormal heartbeats (dysrhythmias), seizures, shortness of breath, lightheadedness, hives, facial swelling, burning or stinging sensation where the medicine was applied, or gray/blue colored skin

While the federal minimum age for sale of tobacco products was raised from 18 to 21 years in December 2019, eight states have yet to align their laws

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