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The patient had been smoking a hookah for several hours while visiting friends

Table 3 GRADE assessment for certainty of evidence for association between chewing and smoking forms of tobacco with oral potentially malignant disorders and oral malignancy with mixed and no mixed tobacco usage Figure 6 Funnel plots for studies included in the pooled analysis DISCUSSION This meta-analysis is the first in scientific literature to evaluate and assess the differences in association between tobacco smokers and chewers with oral cancer or oral potentially malignant disorders

The speakers represented underage drinking, prescription misuse, marijuana, and the vaping/tobacco workgroups

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I also appreciate the need for product standards of e-cigarettes and other vaping devices and am aware that the FDA regulations had this as one aim