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The rest of the story is that dual use is not necessarily a bad thing. In fact, it may for some be a gateway to smoking cessation.

• The only study to examine this question found that e-cigarettes are not a gateway to smoking.

Regardless, the AHA considers e-cigarettes that do “contain nicotine to be tobacco products and therefore supports their regulation under existing laws relating to the use and marketing of tobacco products.” They suggest regulation in the areas of youth marketing, smoke-free air laws, and manufacturing, in order to make sure e-cigarettes don’t encourage nicotine use, which no matter what the delivery method, does present health dangers to its users.


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