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Data on potential long-term harms of e-cigarette use are not available, and both the task force and patients rated harms as important outcomes for decision-making.23 , 72 Evidence from trials showed high levels of continued use of e-cigarettes following their use for smoking cessation.73 A recent analysis of 9 e-cigarette studies found that among people who successfully quit combustible tobacco using e-cigarettes, 70% continued using e-cigarettes at 6 months or longer.74 For those who continue to use e-cigarettes long term after quitting smoking, there is uncertainty about the health effects

Some population-based studies have found that current tobacco users had higher rates of NAFLD compared to never-users, even after adjusting for body mass index, alcohol consumption, and other metabolic risk factors

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Tobacco retail licensing is an important step toward reducing tobacco use among youth