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For example, GAO investigators who visited a Washington, D.C., smoke shop in April purchased a 6-ounce bag of pipe tobacco for $13.77, while a same-size bag of roll-your-own tobacco cost $26.49

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Lastly, alternative approaches such as hypnosis, meditation, or yoga have been increasingly utilized to help people better manage their mood and anxiety, particularly while they are attempting to quit smoking

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While this practice is currently legal in Massachusetts, it has drawn heavy criticism from state politicians and health officials, who say it is a blatant and willful attempt to skirt the state taxes and potentially provides easier access to tobacco products to minors