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This study did not examine conversations around the November 2018 initial statement by the FDA Commissioner detailing aspects of the guidance, the March 2019 publication of the draft guidance, or any actions taken against products that were not explicitly prioritized in this policy (U.S

Nicotine is naturally present in the tobacco used in HEETS and released in the vapour generated during the IQOS heating process

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Rather than displacing smoking into the home, legislation perhaps contributed further to denormalization of smoking in the presence of children, leading to reduced secondhand smoke exposure (6,7,8,9), and changing perceptions of smoking as a normal behaviour (10)