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These alterations contribute to the compulsive nature of nicotine addiction, as individuals find it increasingly difficult to resist the urge to smoke, even when faced with adverse health consequences

Without strong federal ENDS regulations, Mark Gottlieb of the Public Health Advocacy Institute at Northeastern University School of Law warns that the United States will face the prospect of treating an entire generation of youth who are deeply addicted to nicotine. In a Children article, Gottlieb blames the epidemic on FDAs delayed enforcement