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The FDA must act swiftly to exercise its regulatory authority, she wrote in a JAMA editorial a year ago, both by granting marketing orders for nicotine pouch products that meet its standards and penalizing those that violate the law, not allowing this newest segment of the market to evolve as uncontrollably as e-cigarettes. So far, aside from the FDAs move to authorize a few of the major brands products, theres little sign the Trump administration is listening