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Furthermore, strong brand loyalty, habitual consumption patterns, and extensive retail availability continue to support repeat purchasing behavior

Though the industry aims to prop up results with new products like e-cigarettes and by increasing prices for traditional cigarettes, people are smoking less

While the precise mechanisms by which smoking increases cardiovascular disease are still being discovered, it has been shown to exert direct myocardial effects, such as increasing myocardial oxygen demand, lowering the threshold for angina, and Impairing exercise performance (Figure 2)

Trump has previously said he would support raising the legal age to buy tobacco in response to the youth vaping epidemic