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Could it be a gateway to smoking among young people

Open J Respir Dis 03(02):8 Frankenberger M, Heimbeck I, Mller W, Mamidi S, Kassner G, Pukelsheim K, Wjst M, Neiswirth M, Kroneberg P, Lomas D, Halsall D, Iadarola P, Fertl A, Hussinger K, Ziegler-Heitbrock L (2009) Inhaled all-trans retinoic acid in an individual with severe emphysema

However, for many current smokers, conventional cigarettes remain the default option due to availability, cost, habit, and distrust of alternative products

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At the state level, regulations are often inconsistent