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Even travelers using vapes for nicotine replacement, stress management, or doctor-recommended harm reduction remain subject to mandatory confiscation and federal administrative penalties

This aligns with rising evidence points to e-cigarettes being more harmful than previously thought, particularly concerning long-term respiratory health 52

Unfortunately, few FQHCs implement evidence-based cessation programs, such as Ask, Refer, and Advise 13 , or deliver them consistently 14 despite a mandate to do so

Ultimately, this review seeks to underscore the urgent necessity for heightened awareness and proactive interventions aimed at promoting smoking cessation as a pivotal strategy in the prevention and management of liver diseases globally