Cross-border purchasing increased substantially, reaching 33% in 2025, while the prevalence of illicit purchasing nearly doubled between mid-2023 and 2025, rising from about 12% to 23%

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Bottom line Smoking any tobacco producttarget of November being the official Lung Cancer Awareness Monthis harmful and studies show that the tar and nicotine content in kreteks is comparable to most other commercially sold product
It irritates the gum tissue and makes it more susceptible to inflammation, infection, and ultimately periodontal disease