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Smokeless tobacco use also causes esophageal and pancreatic cancer

Isensee, B., Wittchen, H.-U., Stein, M

Importantly, projections show transition away from combustibles to vaping over a 10-year period yields 6.6 million fewer premature deaths in the US with 86.7 million fewer life years lost, while curbing or demonising vaping can lead to more smoking, as also noted by the Royal College of Physicians (London): However, if [a risk-averse, precautionary] approach also makes e-cigarettes less easily accessible, less palatable or acceptable, more expensive, less consumer friendly or pharmacologically less effective, or inhibits innovation and development of new and improved products, then it causes harm by perpetuating smoking

She had learning, skill, language acquisition, all she could aspire to

"What you do in your own home on your own time is none of your boss's business unless it affects your work," said Lewis Maltby, a former American Civil Liberties Union lawyer who now runs the National Workrights Institute in Princeton, N.J