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It is unclear why, but could be related to overall nutrient deficiency (17,18)

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(The District of Columbia has the highest tax at $4.50 and Missouri has the lowest at 17 cents.)6-8 All other tobacco products are taxed at 30% of the wholesale price.6,7 Clean indoor air ordinances Smoking is prohibited in all government workplaces, private workplaces, schools, childcare facilities, restaurants, retail stores and recreational/cultural facilities.6,7 Smoking restrictions are required in bars (except bars or parts of bars if age-restricted).6,7 Smoking is allowed on casino floors, but prohibited anywhere children are allowed to be (tribal establishments are exempt).6,7 The use of e-cigarettes is prohibited within any procedure area of an invasive body decoration establishment.9 Youth access laws The minimum age to purchase tobacco products in Nevada is 21