Nevertheless, this does not stop the authors from drawing a conclusion. They conclude, despite their acknowledged inability to draw such a conclusion, that: "e-cigarette use is aggravating rather than ameliorating the tobacco epidemic among youths."

Senator Blumenthal has clearly his position: "'I think flavors ought to be banned,' Blumenthal told U.S. News. It's 'completely disingenuous' to say adults are the primary users of popular flavor options, he said."

In my mind, it is virtually malpractice to recommend to such patients that they stick with the traditional FDA-approved therapy and do not give electronic cigarettes a chance.

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