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The Food and Drug Administration has tested 120 product samples, and so far has been unable to identify any one brand, ingredient or substance that could explain the illnesses

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FDA highlighted in its 2024 annual progress update that it issued the first marketing granted orders for menthol-flavored e-cigarette products and, since 2020, has acted on more than 26 million applications under the PMTA pathway while issuing hundreds of warning letters to firms and retailers for unauthorized sales

With more tobacco growers, not only did the price of the crop fall further, but efforts to organize became far more difficult to achieve