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The skin and mucous membranes are often bypassed, so that pallor, abnormal pigmentation, icterus, spider nevi, petechiae, purpura, angiomas, ulcerations, palmar erythema, coarseness of hair, puffiness of the face, thinning of the lateral aspects of the eyebrows, and nail defects are missed in the rush to examine the heart and the lungs (Maakaron & Besa, 2021)

to fellow Republicans on the floor of the House

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Figure 4: TikTok content targeting New Zealand youth Current NZ law on oral tobacco and nicotine products The Smokefree Environments and Regulated Products Act 1990 disallows sale of oral tobacco and nicotine products, with the exception of nicotine replacement therapy (NRT), e.g., nicotine gum, lozenges (see Appendix)