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However, it is also shaped by factors outside the control of the manufacturer and the FDA, including state-level regulations and taxation, poor-quality research and accompanying university press releases, misleading statements from academics and activists, distorted risk perceptions, alarmist media coverage, teenage fads, and uninformed physician advice

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The US Centers for Disease Control and Prevention shows that each year there are more than 30,000 new cases of cancer of the oral cavity and pharynx diagnosed

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