Although it has been a frustrating week, I have learned quite a bit and am not ready to give up yet. I have a new found respect for E-Juice manufacturers as I tried a week to get my simple recipe right and it still doesn’t taste great. Mixologists must spend a lot of time perfecting their recipe before it goes on the market. A lot of time and heart is spent developing their recipe and considering they have to wait for the flavorings and base to mix completely before trying it, it is truly a painstaking process. Next time you by E-Juice and second guess or complain about the price, keep in mind the person who made it put a lot of time and effort into developing the recipe correctly so that you can have the best vaping experience possible.

Instead, in response, a CDC official defended Dr. Frieden by suggesting that the statement was just an inconsequential slip of the tongue.

One of my fears in advance of the release of the regulations was that they would require substantial equivalence determinations for most products currently on the market an would pull some products from the market pending such determinations. Instead, the agency decided to allow all existing products to remain on the market, giving them two years to apply for FDA approval. In addition, new products can enter the market for the next two years without pre-approval from the agency.

I had intended to blog about your recent paper, but decided instead to write an open letter and to put these concerns to you directly. So, I write to express dismay at the false, misleading and damaging conclusions you have drawn from your recent paper in JAMA Pediatrics and related media communications. The errors of reasoning are elementary, but have been used to draw conclusions that are relentlessly hostile to e-cigarettes and the important public health concept of ‘tobacco harm reduction’.

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