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There are longstanding surveillance systems in place that help implement laws at brick-and-mortar stores, but we do not have a system in place for online retailers, said Eric Leas, Ph.D., M.P.H., an assistant professor at the Herbert Wertheim School of Public Health and Human Longevity Science

Read about 13 ways smoking affects the body

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I cannot prove it, but it also seems plausible that eating and drinking artificial sweeteners is a physiologic version of "smoking candy cigarettes"