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Importantly, projections show transition away from combustibles to vaping over a 10-year period yields 6.6 million fewer premature deaths in the US with 86.7 million fewer life years lost, while curbing or demonising vaping can lead to more smoking, as also noted by the Royal College of Physicians (London): However, if [a risk-averse, precautionary] approach also makes e-cigarettes less easily accessible, less palatable or acceptable, more expensive, less consumer friendly or pharmacologically less effective, or inhibits innovation and development of new and improved products, then it causes harm by perpetuating smoking

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The menthol is added, to increase addictiveness. Under the [FDA] rule as proposed, tobacco companies could evade the intent of the rule and continue to add menthol to cigarettes as an ingredient, additive, or constituent to maximize their addictiveness if they simply stopped calling them menthol cigarettes, the group of professors wrote