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They come in a variety of flavors and nicotine strengths, and are often marketed as tobacco-free, even though many contain nicotine derived from tobacco

The vapor has also been linked to lung damage and seizures, according to the FDA

In 2020, FDA announced a new policy to prioritize enforcement of the pre-market authorization requirement for any flavored ENDS product (other than tobacco or menthol) and all other ENDS products likely to target minors

Major regulations are as follows: Health warnings displayed prominently covering a substantial portion of the pack

It found that 3.3% of respondents could name a brand of herbal cigarettes, which was higher than the 2.4% who could name a brand of nicotine replacement therapy