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Some doctors are concerned that if they become addicted to the nicotine in the e-cigarettes, it may be an easy step up to smoking tobacco, which is associated with so very many health consequences

90 of the report: No Fire, No Smoke: The Global State of Tobacco Harm Reduction 2018 Global State of Tobacco Harm Reduction (gsthr.org) Center for Tobacco Products (CTP) Map - No Fire, No Smoke: The Global State of Tobacco Harm Reduction The FDA in the USA has long held the authority to regulate nicotine replacement therapies such as gum, patch, and lozenges through the Center for Drug Evaluation and Research (CDER)

The lower use of combustible tobacco products might result from athletes awareness of how smoking can hurt athletic performance