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The study is notable because it found that even among dual users, there was a substantial improvement in respiratory health symptoms and a significant increase in several measures of acute lung function, especially small airways flow rates. Thus, the results of this study suggest that dual use of cigarettes and electronic cigarettes might result in respiratory health improvement if the reduction in cigarette use is dramatic, as it was among the dual users in this study.

With this kind of foresight, these researchers could have easily won $250,000 to fund their research without having to bother the taxpayers. They could have simply put a $2,500 bet on the first score in the Super Bowl being a safety and they would have saved the state of California a quarter of a million bucks.

The letter concludes: "By taking action to apply the MSA to e-cigarettes, you could make a giant stride in protecting kids from a lifelong addiction to nicotine."

1. The subjects did not consent to participate in the study.


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