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Until definitive data are available, clinicians should strongly advise pediatric and AYA patients with leukemia to avoid using electronic cigarettes given the scientific evidence reviewed in this article and its plausible risk to negatively impact survivorship

Because snus is relatively uncommon amongst women, we were unable to make corresponding analyses for them, so the impact of snus on the diabetes risk for women is an important matter for future research, says Dr Carlsson

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