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Abstract The rates of cigarette use among American adults have dropped substantially throughout the last six decades, yet smoking remains the leading cause of preventable disease and death in the United States

Commercial electronic cigarette products are continuing to evolve across time which may lead to increased intensity of use, for instance based on increasing nicotine levels, pH modifications, and potentially other design features

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And that silence reflects what she described as a culture of hostility towards safer nicotine options, similar to that seen against medications for opioid use disorder