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While new shipping restrictions imposed by Congress will destroy or damage much of the legitimate vaping industry, these companies will probably continue to sell illegal products and ship them in violation of the PACT Act
However, a recent Cochrane review of 21 cohort studies and three randomized trials indicated there was sufficient evidence from randomized trials to indicate a beneficial effect of e-cigarettes 4,5
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But doctors continue to warn about the serious health risks associated with e-cigarettes, including increased lung infections, lung damage, asthma, heart attacks, changes in heart rhythm and addiction
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