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"There may be some rules with the FDA, but these companies are not necessarily following them." Marousek noted that in 2010, the Food and Drug Administration issued warning letters to five electronic cigarette distributors for unsubstantiated claims and poor manufacturing practices

Reduced Down Time: The brief nature of Dokha smoking means less interruption to productive activities, potentially increasing overall productivity for those who would otherwise take multiple extended cigarette breaks

Thus, although our findings are not statistically generalisable, we are reassured that they have transferability and could be reliably confirmed

US Food and Drug Administration FDA Embraces Radical Transparency by Publishing Complete Response Letters FDA News Release July 10, 2025 View on FDA Website The U.S