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Many enjoyed the sensations, like increased energy and decreased appetite, that it produced, and most who wrote about it emphasized its medicinal benefits, seeing it as a wonder drug that could cure a variety of human ailments

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Next Steps While Z codes are being utilized by health care providers more frequently now than in 2016, more comprehensive use of Z codes is needed to fully determine the impact of social needs on health and health equity

Furthermore, even though federal law requires the collection and remittance of excise taxes of cigarette sales to non-tribal members, states cannot force tribes to collect them (Samuel et al., 2012)