The authors acknowledge this: "We must state though that while the differences within our study are of statistical significance, the clinical changes may be too small to be of major clinical importance."

I am very familiar with the tactics of ANR because I served on the ANR Executive Board for several years. The reason I resigned from the ANR Executive Board was that they told me they were more concerned with the political impact of their statements than worrying about whether their statements might be defamatory. Thus, the potentially defamatory statements that ANR is currently making about electronic cigarette companies and groups appear to be in line with its long-standing philosophy of using unethical tactics to smear, attack, and defame what it views to be its enemies.

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