still cast a shadow on the industry, especially on the leading tobacco planting state, North Carolina
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Results also support public health efforts to harness influencers perceived as credible for antitobacco messaging and in health literacy campaigns about the harmful effects of e-cigarette use.40 50 51 Although most major social media platforms prohibit paid advertisements for tobacco products, only a few (ie, Facebook, Instagram and TikTok) explicitly prohibit influencers from promoting nicotine/tobacco products.12 23 According to the FDA and the Federal Trade Commission guidelines,52 53 if influencers have any material connection with a tobacco brandmeaning that they have been paid or given something of value to tout the productsuch relationships need to be disclosed in their social media posts
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