I've been using this for several years and never had a problem. It depends upon how your forum is set up. Mine are set up so that to post the person has to register and activate their registration (activation/verification email) to post, so it's a moot issue. If it's a fake email they won't be able to activate their registration to post anything.
If anything, I'm disappointed that the mod hasn't been updated. I'll really be disappointed if vB 4 kills it. It is a good mod and my moderators *love* it.
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