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While some say e-cigarettes may help tobacco smokers kick the habit, others are concerned that the unregulated devices are being marketed widely despite little long-term evidence about their health effects

The term mixed dystrophy is no longer recommended because it is now appreciated that such cases reflect the spectrum of lichen sclerosus, which may present with adjacent or associated hyperplastic and hyperkeratotic areas

For these reasons, some smokers have turned to electronic cigarettes (or vapes) to consume tobacco

For example, the agency considered evidence of foreseeability (i.e., a reasonable manufacturer would foresee that consumers will use the product to satisfy nicotine addiction) and actual consumer use (i.e., consumers use the product because they are addicted)

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