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Webster's defines "placebo" as "1

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Furthermore, among non-tobacco smokers, exposure to electronic cigarettes resulted in a decrease in forced expiratory flow at 75% (FEF75), indicating that nicotine-free ECs do not produce significant short-term changes in lung functions in non-smokers but have small effects on different lung functions in tobacco smokers (47)

So what that meant was that a lot of those people just wouldn't go and see the GP or they would just delay seeing one