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One letter sent by the state asked a manufacturer to quit claiming that electronic cigarettes are one of the safest forms of nicotine available and that when you exhale, you are exhaling harmless water vapor." Many companies have taken some or all of our recommended steps, said Kristin Ford, a spokeswoman for Attorney General Kamala Harris

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While short-term ENDS use may be less harmful than combustible tobacco, harms of long-term use, levels of safe use, along with other variables are unknown, supporting the need for more evidence-based research and product regulation