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The only respiratory symptom uniquely and consistently associated with EC use in this review is cough, but this may be a transient effect of respiratory irritation, and does not seem to progress into clinically significant lung disease [30]

Steinberg is cautious about his observations and admits that hes probably seeing a skewed sample of people who came to him just because they found e-cigarettes unhelpful

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however, the agency did not object to certain manufacturers distributing varenicline tablets