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Good morning. A lot of people had reactions, comments, and theories regarding Lizzy’s story yesterday on the mystery patient who received retatrutide. What’s undeniable, though, is the strength of Lizzy’s reporting.

FDA finally analyzed its own youth tobacco data

Last year, 7.2% of middle and high schoolers in the U.S. reported using any sort of tobacco product, according to newly analyzed federal survey data. That represents an overall decline from 2022, though interestingly, use of nicotine pouches among young people increased to 1.7%, compared to 1.4%. Vapes were the most popular tobacco product, with 5.2% of survey respondents reporting current use in 2025.

Among young vape users, nearly 90% used flavored products, with fruit, candy, dessert, and other sweet flavors the most prominent. Despite the popularity of sweet flavors among young people, the FDA touted its recent approval of four flavored e-cigarette products as a mitigation strategy.