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This recommendation is part of the 2025 "State of Tobacco Control" report, which evaluates state and federal policies aimed at eliminating tobacco use and suggests effective tobacco control laws and policies to save lives

Additional research is needed to examine the long-term risk of developing COPD among users of e-cigarette products, considering the heterogenous composition of e-cigarette products

Other studies have proposed this to be a potentially promutagenic effect, which is to say that sperm with altered DNA may lead to health problems in the offspring

Blaming individuals for struggling with products engineered to defeat them is inhumane, ineffective, and comes at an enormous cost