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Due to Spain's claim to Cuba, the Spanish dominated the new tobacco industry in the region

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The variability in the primary outcome number of cigarettes smoked per day was higher than expected based on our earlier pilot study, leading to a large sample size re-estimation in the interim analysis

Cyber Incident Update 9/27/25 at 11:00 am EST: We are pleased to share that our team has gained access to the system environment and is actively conducting testingan important step toward the full restoration of services