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Despite mountains of evidence demonstrating the harm of menthol, the FDA did not act until April 2021 when a federal judge ordered the FDA to propose a rule banning menthol within one year, as a result of a Citizen Petition by the Public Health Law Center and the lawsuit filed in 2020 by the African American Tobacco Control Leadership Council, Action on Smoking and Health, the American Medical Association and the National Medical Association
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UC Merced health psychology Professor Anna Epperson, in her work with Stanford University Professor Judith Prochaska on tobacco cessation interventions in Northern Alaska, stated that in the field, participants reported "switching" to NAS, calling it the "healthy and natural" brand, rather than quitting smoking
Esophageal COX-2 expression is increased in Barretts esophagus, obesity, and smoking
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