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Three independent investigators reviewed the title, abstract, and text of the studies to determine whether the studies met inclusion criteria for the meta-analysis

The answer is clear and consistent: for nearly all commercially available disposable vapes and nicotine e cigarettes, USPS shipping is not permitted under the PACT Act

To the extent to which the adjusted covariates addressed the influence of confounders, it is unlikely that confounding entirely accounts for the association because reductions in estimates of association from unadjusted to adjusted models were not consistently observed in the literature