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"There may be some rules with the FDA, but these companies are not necessarily following them." Marousek noted that in 2010, the Food and Drug Administration issued warning letters to five electronic cigarette distributors for unsubstantiated claims and poor manufacturing practices

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Perry has not said whether she was using cigarettes, vapes or patches

The proportion of vapers who also smoke tobacco fell from about two-thirds in 2013 (67%) to about one-third in 2021 (31%), then rose slightly between 2021 and 2025, before falling again in 2026