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If e-cigarette product use is suspected as a possible cause for a patients lung disease, a detailed history of the substances used, the sources, and the devices used should be obtained, as outlined in the Health Alert Network (HAN), and efforts should be made to determine if any remaining product, devices, and liquids are available for testing

Tobacco weakens the immune system, making gums prone to infection and gum disease (periodontitis) , which can lead to tooth loss 4

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Failure to apply the proposed changes to our regulations at 425.605(a)(1)(ii)(C), 425.610(a)(2)(ii)(C), and 425.655(d)(2) retroactively would be contrary to the public interest because it creates unintended ambiguity in the standard CMS will use when calculating risk score growth