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This condition is unlikely in the adolescent population, who receive all the pernicious properties of nicotine without the suggested harm reduction benefits 113

BBC News (London) 2023 April 11

The occurrence of oral ulcers while quitting smoking may be attributed to anxiety and emotional stress from nicotine withdrawal

Johnson also argues that these efforts will do nothing to deter youth from accessing vapor products, more likely it will drive more youth to online and black market products, which takes money out of Washington State