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Key hurdles include limited scientific evidence on long-term health effects, potential health risks from harmful chemicals, evolving regulations, consumer skepticism, competition from alternatives like e-cigarettes, and concerns about acting as a gateway to tobacco

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"We don't know enough about the health implications of heat-not-burn tobacco products, and that lack of knowledge is extremely dangerous for public health," said Theodore Caputi, the study's lead author

Verrall has not responded to a request for comment on the latest calls