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This has not increased cessation at all. But I think perhaps one of the take-home messages is that we see in patients who attempt to adopt e-cigarettes as a smoking cessation tool, unfortunately most commonly become dual users, meaning theyve now adopted e-cigarette use

"When they want to flex their muscles, they can flex incredibly effectively," he told me.

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Regulation of e-cigarettes should focus on three broad objectives -- reducing tobacco-related harm, ensuring minors and young people do not use e-cigarettes and protecting bystanders

He observed his devastated unit with stoic detachment