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The Source: Information for this story was provided by Consumer Affairs, which cited data from a study by researchers at the University of California San Diego

So I managed to get my hands on a bottle of this after quite the search

As of 2026, the market is navigating a bifurcated landscape: mature economies in North America and Western Europe face sustained volume erosion due to stringent regulations, high excise taxes, and declining social acceptance, while emerging markets in Asia-Pacific, the Middle East, and Africa continue to support stable or growing consumption driven by demographic tailwinds and rising disposable incomes

This also could be driven by Medicaid Regional Accountable Entities (RAEs), some of which use Z codes to determine patient complexity which factors into determining payments to providers