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Earlier this year, the Tobacco Advisory Group of the Royal College of Physicians published a report that stated, in the interests of public health, it is important to promote the use of e-cigarettes, NRT, and other nontobacco nicotine products as widely as possible as a substitute for smoking in the United Kingdom

Additionally, biomarker-based evidence of cancer risk can be easily investigated through rigorously designed randomized controlled trials to assess short-to-medium-term exposure effects

A study published in the 2015 journal of Environmental health Perspectives showed that the chemical Diacetyl was found in many types of e-cigarette juice flavors especial in candy and fruit flavors

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Pack years also influence clinical decisions, such as determining eligibility for lung cancer screenings or tailoring treatment plans to match exposure levels