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At a minimum, an e-cigarette manufacturer must show that the flavor itself is safe, helps smokers switch completely from combustible cigarettes, and does not attract youth before a product is allowed to go to market

Tobacco use in Hawaii 2023 Cigarette use: Hawaii* Smoking rate in Hawaii In 2022, 10.0% of adults in Hawaii smoked

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But research suggests that it may also affect testosterone, with studies showing that it can cause an increase or decrease in testosterone levels

Adolescents and young adults are uniquely susceptible to social and environmental influences to use tobacco