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Dr. Foulds and colleagues developed a 10-question scale to assess nicotine dependence and administered it to a sample of 2,368 current electronic cigarette users. Subjects were asked to fill out the scale to assess the level of their addiction while smoking, and then again to assess the level of their current addiction using electronic cigarettes.

I continued to smoke for a few weeks when I wanted to, but used my e-cig when I found it convenient. I found myself using my e-cigarette more and more and my tobacco cigarettes less and less. Within a month or two, I could not stand the smell of a cigarette…

I was in the exact same place in my life one year ago. I could not quit smoking, I had tried many times, and I almost accepted that I was going to be a smoker for the rest of my life.

"The FDA proposalwouldsignificantly delay the implementation of premarket review for newly covered products. Most egregiously, the proposal creates a twenty-four month provisional period for the submission of tobacco product marketing applications. Applicationsreceived during the provisional period enable thecontinued marketing of the productuntil the FDA acts on the application which may be wellbeyond the twenty-fourmonth period. A similar loophole was established during the passage of the Act to apply to cigarettes and smokeless products. The FDA received 3,517 applications but three years later has only issued an order removing four products from the market. After the withdrawal of 117 applications, the tobacco companies are still able to market the unapproved products represented by the 3,396 outstanding applications."

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While it is undeniably true that subsequent changes to the tar yield of cigarettes (changes subsequent to the introduction of filters) did not lower the lung cancer risk associated with cigarette smoking, one must be careful in concluding that the introduction of the filter resulted in an increase in lung cancer risk.


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