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"It's alarming and something that we really need to be tracking more closely here in the United States as well." A major strength of the study is that Orri and his colleagues controlled for so many confounding factors, adds Lisdahl

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Regarding capacity utilization, the report notes that, based on statistical survey production data, average capacity utilization rates for nicotine used in e-cigarettes, e-liquids and finished e-cigarette products have risen significantly in recent years, reflecting continued improvements in operational efficiency across the industry

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