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53 Given the high rates of e-cigarette use in children and adolescents currently in the US, 54 the USPSTF recognizes that an overall public health question remains on whether the potential use of e-cigarettes as a tobacco smoking cessation aid (if ever proven effective) could be balanced with the high rates of e-cigarette use in youth as a driver for increasing overall tobacco use

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Last but not least, the mouthpiece sits at the other end of the pipe

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Exhibit 2.3.3 Form 3800 If authorized, a mailer may use a privately printed Form 3800