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Those who do switch to e-cigarettes may be more likely to relapse than those who do not use e-cigarettes for cessation.75 Providers cannot direct patients to an approved e-cigarette product with a verified formulation (e.g., for nicotine concentration and other excipients or additives)
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The FDA would have to follow its rule-making process to execute this Congressional mandate. The persistence of illicit trade creates a paradox for public health officials: While cigarette taxes are designed both to generate revenue and discourage smoking, the study's findings suggest they are high enough that a significant portion of the city's estimated 565,000 adult smokers may be circumventing the price increases meant to push them toward quitting
