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236 Based on FDA's interpretation, in order for ENDS manufacturers to be subject to the tobacco product user fees, Congress would need to provide FDA with the statutory framework for doing so

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The main concerns are: Late diagnosis , neglected pulmonary TB can cause permanent lung scarring before the oral lesion ever appears Drug-resistant strains , multidrug-resistant TB is harder, longer, and more expensive to treat, with poorer outcomes Coexisting HIV infection , alters treatment response and increases the risk of disease progression Reactivation , even after successful treatment, latent organisms occasionally remain and can reactivate later in life if immunity drops This is why the dental finding matters so much

Avoid sharp angles or straight lines