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In-market sales volume of cigarettes, HTUs, and KPMG estimates of contraband and counterfeit cigarettes, Lithuania, 2011-2021 Finally, KPMG estimated that while cigarette outflows from Lithuania declined by more than half since 2015, more than 6% of cigarettes sold in Lithuania were not consumed in the country in 2021

In addition, e-cigarette users have been reported to mix multiple e-liquids to create their own unique flavors, further complicating safety assessments

OKeeffe LM, Taylor G, Huxley RR et al (2018) Smoking as a risk factor for lung cancer in women and men: a systematic review and meta-analysis

But the smoking backlash can have the perverse effect of making it seem even more decadent, sort of like eating a bacon-stuffed meatloaf wrapped in bacon