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By the start of the 20th century, tobacco smoking, especially among the youth, had become so common that the more health-conscious sections of the intelligentsia began to take note of public smoking and widespread sale and marketing of tobacco products as a growing social menace

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In fact, the usefulness of ECs as a nicotine replacement therapy device in the adult population is only confirmed in a very small number of controlled clinical trials and would be conditional on whether the smoker knows how to self-administer the appropriate nicotine dose 36

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