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Finally, and perhaps the issue that is of greatest concern is that in addition to the unknown health effects, early evidence suggests that e-cigarette use may serve as an introductory product for youth who then go on to use other tobacco products, including conventional cigarettes, which are known to cause disease and lead to premature death

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and smokeless tobacco sales)

Assessing the scientific evidence, public policy, regulation and ethics of e-cigarettes, the RCP concluded that they are not a gateway to smoking and do not result in the normalisation of smoking