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Conclusion Review of the literature suggests more thorough evidence-based studies are needed to establish the efficacy of ENDS for tobacco cessation, for the use of ENDS products in harm reduction efforts, and the health effects of ENDS use over time

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Few studies incorporate objective clinical measures of lung function or fitness, leading to concerns about inconsistent or non-standardized assessment across studies

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North Korea officially responded by labelling the decision a serious abuse of human rights

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