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This is consistent with the GRADE approach, in which strong recommendations are sometimes made with low-certainty evidence combined with high certainty of harm or resource implications, and with the value that the task force places on using scarce primary care resources wisely

The amount of nicotine in a cigarette can be wildly different when looking at different brands

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A., & Zimmerman, M

Nicotine policy has for years focused on the use by minors who then potentially become lifelong addicts and in Trumps first term, the FDA restricted e-cigarette flavors in 2020 after a heated policy debate in which Trump himself expressed concern about less-safe flavored imports