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These substances may include: cigarette smoke toothpaste mouthwashes sugar or sweet food foods that are very spicy or acidic Hairy tongue syndrome Hairy tongue occurs when a certain type of cell on the tongue doesnt shed as it should

100 This consensus extends to multiple clinical guidelines, which have removed e-cigarettes from smoking cessation recommendations, underscoring that their long-term safety is unproven and their short-term harms are already visible

Partial guidelines for implementation of Articles 9 and 10 of the WHO Framework Convention on Tobacco Control (Regulation of the contents of tobacco products and regulation of tobacco product disclosures) [accessed 1 Apr 2015];2012 92.Health Canada