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However, care must be taken to educate the public about the existence and intended uses of consumer nicotine gum and other novel smokeless products, as well as to distinguish them from products approved as nicotine replacement therapies [48], to prevent the growth of misconceptions which might undermine the opportunity for people who smoke to benefit from the harm reduction potential of both categories of products (NRT and consumer)

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In Bridges case, these treatments may have affected the nerves controlling the vocal folds or the surrounding musculature, thereby altering his vocal quality

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