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While its harms accounting for more than 178,000 deaths every year are well-documented, the political and cultural response to addressing these issues is mired in resistance, misinformation, and powerful industry lobbying

A new FDA policy allows e-cigarettes and nicotine pouchesincluding kid-friendly flavorsto be sold without the scientific review and marketing authorization required by law

This suggests an additional risk beyond total smoking dose as measured by pack-years, while acknowledging that initiation age and lifetime exposure remain closely related behaviors

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