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This is counterintuitive considering over 480,000 people die every year in the US as a direct result of smoking cigarettes

Int J Drug Policy 105:103716 Hammond D, Reid JL, Goniewicz ML, McNeill A, O'Connor RJ, Corsetti D, Brose LS, Schurr B, Robson D (2025a) Biomarkers of Toxicant Exposure among Youth in Canada, England, and the United States Who Vape and/or Smoke Tobacco or Do Neither

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By December 2023, the FDA had issued more than 400 warning letters to retailers for the sale of unauthorized e-cigarettes and filed civil money penalty complaints against more than 65 retailers and manufacturers for the manufacture or sale of the products

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