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A chemical called diacetyl, found in many e-cigarette flavors, is one cause of this condition

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I initially had planned on only going for 28 days, not fully committed to getting sober and ended up staying for 82 and now am over 3 months sober

If enough pressure can be applied to the FDA, then the agency will approve their reduced harm products for market without having to wade into the dicey area of smoking cessationor have to fend off questions about whether these products truly reduce smoking or might instead hinder getting off nicotine entirely (or both)