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Given the observed association between tobacco smoke exposure and early-onset OA in this cross-sectional study, our findings suggest that reducing smoking and environmental nicotine exposure may be beneficial

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We previously found that though FDA relied on alternative tools while inspections were paused due to the COVID-19 pandemic, the agency had not yet established future plans for these tools.[68] We recommended that FDA fully assess its alternative inspection tools and consider whether these tools or others could continue to provide the information needed to supplement regular inspection activities or help meet its drug oversight objectives when inspections are not possible

Community members are experts in their own right, she says