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At one point, Leppanen wrote that she had a half dozen pointed issues to address, to which Edelson-Mammel responded, To be clear, your work product will be sent to Susan for review by Wednesday, November 20, at 4PM. In a lengthy response, Leppanen addressed why she needed more time for the environmental assessment

To date, there is no research evaluating which medications and at what doses will be most effective for quitting vaping, and current recommendations are based on guidelines for quitting tobacco

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Zwisler ADO, Trden UI, Videbk J, Madsen M (2005) Cardiac rehabilitation services in Denmark: still room for expansion