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and Europe in 2006, and it is reported that they were marketed as a harm reduction device.[6] However, the US Food and Drug Administration explicitly states that no e-cigarette has been approved as a cessation device or authorized to make a modified risk claim and more research is needed to understand the potential risks and benefits these products may offer adults who use tobacco products.[7] K Jones et al

1, tied with Oklahoma, for the state with the highest number of adults using e-cigarettes daily

middle and high school studentsNational Youth Tobacco Survey, 2023

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Understanding the regulatory environment is crucial for both consumers and retailers