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At times, ANDS may also encompass examples of products that deliver nicotine in less harmful alternative modalities than smoking (i.e., nicotine replacement therapy (NRT), low nitrosamine Swedish snus, or other smokeless tobacco) (26

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"The reality is this industry is still operating like the wild, wild West, without regulation to make sure these products are safe," Bentley said

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[1] E-cigarettes are estimated to have preserved 677,000 lifeyears in the US alone from 2011 to 2019

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