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One potential avenue for change is the reclassification of marijuana at the federal level

It would also include premium cigars, used almost exclusively by adults, and safer nicotine products like e-cigarettes and oral nicotine products, several of which are authorized by the Food and Drug Administration as appropriate for the protection of public health because they are safer than cigarettes and help smokers quit

Exposure to secondhand tobacco smoke, as evidenced by cotinine concentrations, has been associated with impaired endothelial function in a dose-dependent manner in preadolescent children (811 years) [75]

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