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Under authority from the 2009 Family Smoking Prevention and Tobacco Control Act (FSPTCA), the Food and Drug Administration issued a policy in January 2020 that prioritized enforcement towards sure unauthorized cartridge-based e-cigarette flavors that attraction to youths, together with fruit and mint. Smokers considering e-cigarettes to assist them give up smoking should consult with a medical professional to make a plan for quitting tobacco use fully.

Considerable declines in cigarette smoking have occurred among US highschool college students over the previous two a long time: smoking declined from 30% in 2000 to 6% in 2019.1 However, e-cigarette use has increased substantially over the past decade, with present use among highschool college students increasing from about 1% in 2011 to almost 28% in 2019.1 This increase was of larger magnitude in recent years, which coincided with the rising recognition of cartridge-based e-cigarettes referred to as "pod mods," together with these made by Juul, the market chief since 2017.2 These newer merchandise use nicotine salts, which allow increased levels of nicotine to be inhaled more easily and with less irritation than the free-base nicotine used in earlier e-cigarettes.

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