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As evidence grows supporting the potential cessation benefits of other tobacco products 1,9,10 , continued surveillance of providers as sentinels may assist in informing regulatory efforts

References 1 Lustig, R

Toxic Additives: Trace amounts of pesticides, mold, and even sawdust or floor sweepings used as "fillers." High Tar and Nicotine: Fakes often have wildly inconsistent levels of nicotine and tar, which can lead to unexpected heart palpitations and increased respiratory strain