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In fact, the World Health Organization actually singled out Juul in its latest report on the global tobacco epidemic (on page 31), calling it one of the new industry players that continue to subvert tobacco control. The FDA also called Juul out for marketing its vapes at healthier than cigarettes, when theres no proof of that yet

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The distinction is that vaping may not directly cause blood sugar fluctuations but certainly contributes to the development of diabetes risk