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A lawsuit from North Carolina Attorney General resulted in a $40 million settlement which also imposed some restrictions on the companys marketing to youth, and one from the Arizona Attorney General resulted in a $14.5 million settlement, which will largely fund anti-addiction programs, but also creates an agreement that the company will not market or sell its products to young people, will implement strict age verification for online sales, and will monitor retailer compliance in the state

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Ethics statement All procedures performed in studies involving human participants were in accordance with the ethical standards of the Institutional Review Boards at the Johns Hopkins Bloomberg School of Public Health (#8817) and at the Instituto Nacional de Salud Pblica (#1582) and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards

In 2020, the U.S