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however, these declines have stalled in the past 5 years, barely dropping from 20.9% in 2005 to 20.6% in 2009

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These mechanistic observations underscore that cannabis smoking is not biologically inert and can contribute to molecular changes associated with lung carcinogenesis

The channel accounted for approximately 18.3% of distribution revenues in 2025, up from about 9.7% in 2019, driven by growing consumer preference for digital purchasing, subscription cigar delivery services, and expanding direct-to-consumer platforms