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The number was calculated by multiplying Michigan's per-capita cigarette consumption by the number of tribe members living on the reservation, and then subtracting the 25 percent of cigarettes that were estimated to be purchased by Indians off the reservation.[82] The agreement also allowed the state to conduct an annual audit, and the tribe agreed to pay the excess tax if it purchased more than the allotted number of cigarettes in one year

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Though occasionally seen as less dangerous, vaping can affect lipid metabolism as well