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Age Verification In 2019, federal legislation changes raised the minimum age for tobacco products, including vapes and e-cigarettes, to 21

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However, as discussed below, this finding is most plausibly explained by healthy switcher bias, residual confounding by age, body mass index, and other unmeasured factors, and the variable and uncontrollable effects of prior tobacco exposure in the vaping group, rather than by any protective effect of e-cigarette use

Beth Cohen, professor of medicine at the University of California, San Francisco and co-director of UCSFs program in residency investigation methods and epidemiology

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