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Regulation could also enable India, as the world's second-largest tobacco producer, to explore leveraging its agricultural base for the production of pharmaceutical-grade nicotine for regulated vaping liquids, creating affordable, domestically produced alternatives, particularly relevant for the millions of price-sensitive bidi smokers

It is also difficult to determine the causes of changes in health-related behaviours like smoking from trends in population surveys due to methodological challenges, and multiple potential influences on trends

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