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The state supports manufacturers producing smokeless tobacco and related products tied to regional agricultural supply chains

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Those who lived abroad have not been followed since, nor have 218 others (1% of those not known to have died) if they then asked to be excluded from the study (102)

Medical marijuana prescribed use for a medical condition has been legal in Michigan since 2008, and recreational marijuana was legalized in Michigan in 2018 (after the time period of this study)

The NB-100 Smoke Black has class 2 protection, which protects against moderate-risk scenarios where protection against common hazards like particulates (dust, smoke) and low-level gases/vapors is needed