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Amazingly, none of these conflicts of interest are reported in the paper and the reader has no way of knowing this long history of financial conflicts of interest with Big Pharma. I imagine that most readers would be shocked to find out about this intense and long history of financial conflict with Big Pharma, given that Dr. Fiore reported no conflicts of interest.

It is not the case that the authors are simply unaware of the inability of their study to conclude that the e-cigarette use is leading to regular cigarette smoking. They readily acknowledge this in the study. Nevertheless, both of the authors still make conclusive statements to the public, misleading us to believe that the study demonstrates that e-cigarettes are a gateway to regular cigarette use.


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