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As with any brand, buyers should check the product format, seller, packaging details, and local legal restrictions before ordering

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We must shore up our efforts to stop this disturbing trend before it climbs higher and turns more young people into lifelong tobacco addicts. It isnt surprising that these unregulated products would be the ones that end up being used by youth, given theyre easier to obtain and their access is largely unrestricted." Robin Koval, CEO and president of the Truth Initiative, a group funded out of a tobacco company settlement with states to help fight smoking, said the shift to e-cigarettes shows the Food and Drug Administration needs to regulate them firmly

doi: 10.1093/eurpub/ckl043