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Is the weight loss due to an increased metabolism, fewer calories eaten, or both

In the 2026 report, West Virginia received the following grades: Funding for State Tobacco Prevention Programs Grade F Strength of Smokefree Workplace Laws Grade D* Level of State Tobacco Taxes Grade F Coverage and Access to Services to Quit Tobacco Grade D Ending the Sale of All Flavored Tobacco Products Grade F Federal Grades Overview The 2026 State of Tobacco Control report grades the federal government in five areas: Federal Regulation of Tobacco Products Grade D Federal Coverage of Quit Smoking Treatments Grade D Level of Federal Tobacco Taxes Grade F Federal Mass Media Campaigns to Prevent and Reduce Tobacco Use Grade I* Federal Funding for Tobacco Prevention and Control Grade: B *The federal government gets an I for Incomplete in this category due to data not being able to be obtained about the duration, reach and frequency of the Real Cost campaign in 2025

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William Dietz, a public health expert at George Washington University