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"The FDA must close this loophole." The study also shows that among youth cigar smokers, almost 60% of those who smoke flavored little cigars are not thinking about quitting tobacco use, compared with just over 49% among all other cigar smokers

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Table 3 Description of the studies selected about the association of EC use with the consolidation of tobacco and other substance use, and the evidence on EC use as a smoking cessation strategy In Figure 6, the number of studies confirming the limited evidence regarding the use of ECs as a smoking cessation strategy in adolescents (with three cross-sectional studies 56,79,82 ) or as a harm reduction strategy in smoking (with one cross-sectional study 94 ) is presented

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